Individual provider Active NPI

Alexandra Monica Rukstelo, D.O.

  • Physical Medicine & Rehabilitation Physician
  • Napa, CA
National Provider Identifier
1467985143
Registry record updated Mar 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
20A20612 Issued in CA
Practice address
3421 Villa LN Ste 2B
Napa, CA 94558-3060
Phone
(072) 555-4547
Fax
(707) 255-5411
NPI assigned
Apr 10, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 5101024481 MI
Physical Medicine & Rehabilitation Physician 208100000X 20A20612 CA Primary

Addresses

Primary practice location

3421 Villa LN Ste 2B
Napa, CA 94558-3060

Mailing address

3010 Beard Rd
Napa, CA 94558-3442
Phone (707) 255-8825

Other names 1

  • Alexandra Monica Ostromecki Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210525003306 MI Practitioner - Physical Medicine and Rehabilitation 8729487699 Reassigns benefits to 3 organizations
I20230329002626 CA Practitioner - Physical Medicine and Rehabilitation 8729487699

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Pacific NW Un of HS, Col of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McLaren Lapeer RegionGroup PAC ID 8123000544, 36 clinicians

Practice addresses (Care Compare)

1200 Barry Dr
Lapeer, MI 48446-3661
Phone (810) 664-4531

Hospital & facility affiliations

  • McLaren Lapeer Region Hospital, Lapeer, MI, CCN 230193
  • McLaren Oakland Hospital, Pontiac, MI, CCN 230207
  • McLaren Flint Hospital, Flint, MI, CCN 230141

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A20612CAMDPhysical Medicine & Rehabilitation Physician
5101024481MIMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Northern Michigan CurrentSince Jul 22, 2024 Accepting new patients
McLaren Lapeer Region CurrentSince Apr 1, 2024 Accepting new patients
McLaren Lapeer Region CurrentSince Apr 1, 2024 Accepting new patients
McLaren Northern Michigan CurrentSince Jul 22, 2024 Accepting new patients
McLaren Lapeer Region Current Accepting new patients
Marko Bodor MD a Professional Corporation Physical Medicine & Rehabilitation CurrentSince Jan 23, 2023 Accepting new patients

Locations

3010 Beard Rd
Napa, CA 94558
Phone (707) 257-1550

3421 Villa Ln
Ste 2B
Napa, CA 94558
Phone (707) 255-5454

1200 Barry Dr
Ofc
Lapeer, MI 48446
Phone (810) 664-4531

1254 N Main St
Lapeer, MI 48446
Phone (810) 664-4531

1200 Barry Dr
Lapeer, MI 48446
Phone (810) 664-4532

809 W Dryden Rd
Metamora, MI 48455
Phone (810) 678-4000

416 Connable Ave
Petoskey, MI 49770
Phone (231) 487-4000

2390 Mitchell Park Dr
Ste D
Petoskey, MI 49770
Phone (231) 242-1760

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679529600000",
    "number": "1467985143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 BEARD RD",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583442",
            "telephone_number": "707-255-8825",
            "fax_number": "707-252-9325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 VILLA LN STE 2B",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945583060",
            "telephone_number": "072-555-4547",
            "fax_number": "707-255-5411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUKSTELO",
        "first_name": "ALEXANDRA",
        "middle_name": "MONICA",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-10",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "5101024481",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "20A20612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXANDRA",
            "last_name": "OSTROMECKI",
            "middle_name": "MONICA",
            "credential": "D.O.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.