Individual provider Active NPI

Rebecca J O'Rourke, M.D.

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1457415069
Registry record updated Dec 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18026 Issued in NV
Practice address
4919 W Craig Rd
Las Vegas, NV 89130-2730
Phone
(725) 220-8706
Fax
(833) 749-0366
NPI assigned
Dec 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 18026 NV Primary
Specialist 174400000X MD16304 HI

Addresses

Primary practice location

4919 W Craig Rd
Las Vegas, NV 89130-2730

Mailing address

4919 W Craig Rd
Las Vegas, NV 89130-2730
Phone (725) 220-8706

Other identifiers 3

IdentifierTypeStateIssuer
694803MedicaidHI
18026OtherNVNV STATE LICENSE
1457415069MedicaidNV

Other names 1

  • Dr. Rebecca Jackson Scheiterle Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rebecca.orourke@centerwell.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20180202000490 TX Practitioner - Family Practice 6709772460 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18026NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
DHHS PHS Naihs Crownpoint Hospital Current Accepting new patients
Thoreau Clinic CurrentSince Jan 17, 2018 Accepting new patients
Pueblo Pintado Clinic CurrentSince Jan 17, 2018 Accepting new patients
Psychiatric Network, PC Past Accepting new patients
Emergency Medicine Physicians of Cattaraugus County, PLLC Past Accepting new patients
Intermountain Medical Holdings Nevada Inc Family Medicine Past Accepting new patients
E Jackson St Emergency Physicians LLC Past Accepting new patients
Eagle Emergency Physicians LLC Past Accepting new patients
Physicians Medical Center Kaufman, LTD Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rebecca.orourke@centerwell.eclinicaldirectplus.com

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1457415069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 W CRAIG RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302730",
            "telephone_number": "725-220-8706",
            "fax_number": "833-749-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4919 W CRAIG RD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891302730",
            "telephone_number": "725-220-8706",
            "fax_number": "833-749-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE",
        "first_name": "REBECCA",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-20",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "18026",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "MD16304",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "694803",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV STATE LICENSE",
            "identifier": "18026",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1457415069",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rebecca.orourke@centerwell.eclinicaldirectplus.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4919 W Craig Rd",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891302730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "REBECCA",
            "last_name": "SCHEITERLE",
            "middle_name": "JACKSON",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.