Individual provider Active NPI

Rebecca A Prostko, M.D.

  • Internal Medicine Physician
  • Palm City, FL
National Provider Identifier
1437124914
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0052247 Issued in FL
Practice address
938 SW Martin Downs Blvd
Palm City, FL 34990-2816
Phone
(772) 223-6410
Fax
(772) 223-0092
NPI assigned
Feb 20, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0052247 FL Primary

Addresses

Primary practice location

938 SW Martin Downs Blvd
Palm City, FL 34990-2816

Mailing address

938 SW Martin Downs Blvd
Palm City, FL 34990-2816
Phone (772) 223-6410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040428000172 FL Practitioner - Internal MedicinePractitioner - General Practice 6800883596 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Dakota School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
H2 Rehabilitation Services of Florida LLCGroup PAC ID 3971411851, shared by 10 NPIs, 257 clinicians
Physiotherapy Associates IncGroup PAC ID 3577470442, 1,432 clinicians
Rebecca a Prostko MD PAGroup PAC ID 4385669373, 2 clinicians

Practice addresses (Care Compare)

4900 SE Willoughby Blvd
Suite H2
Stuart, FL 34997-4009
Phone (800) 699-9395

860 Route 134
Suite 5And6
South Dennis, MA 02660-2577
Phone (508) 385-4212

938 SW Martin Downs Blvd
Palm City, FL 34990-2816
Phone (772) 223-6410

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0052247FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca a Prostko MD PA CurrentSince Oct 1, 2006 Accepting new patients

Locations

938 SW Martin Downs Blvd
Palm City, FL 34990
Phone (772) 221-7620

6216 SE Federal Hwy
Stuart, FL 34997
Phone (772) 287-9855

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1437124914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 SW MARTIN DOWNS BLVD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902816",
            "telephone_number": "772-223-6410",
            "fax_number": "772-223-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 SW MARTIN DOWNS BLVD",
            "city": "PALM CITY",
            "state": "FL",
            "postal_code": "349902816",
            "telephone_number": "772-223-6410",
            "fax_number": "772-223-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROSTKO",
        "first_name": "REBECCA",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0052247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm City, FL

Sources for this page

Verify at the official NPI Registry.