Ryan Edward Rebowe, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

37757 Issued in AL

Practice address

3700 Dauphin St Ste a
Mobile, AL 36608-1725

Phone

(251) 340-6600

Fax

(251) 479-7164

NPI assigned

Jun 2, 2013

Last updated

Mar 15, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Plastic and Reconstructive Surgery

Education

Louisiana State University School of Medicine in New Orleans, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

The Park Clinic for Cosmetic and Reconstructive Surgery, P.C.Group PAC ID 2466513064, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mobile Infirmary Medical Center Hospital, Mobile, AL, CCN 010113
• Springhill Medical Center Hospital, Mobile, AL, CCN 010144
• Thomas Hospital Hospital, Fairhope, AL, CCN 010100

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• The Park Clinic for Cosmetic and Reconstructive Surgery, P.C.

  • Medical Specialty Clinic/Center
  • Mobile, AL
  • NPI 1821246869
  Medicare reassignment Care Compare group NPD

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

• Gulf Health Hospitals, Inc

  dba Thomas Hospital

  • General Acute Care Hospital
  • Fairhope, AL
  • NPI 1447303227
  Care Compare affiliation
• Mobile Infirmary Association

  dba Mobile Infirmary Medical Center

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1558364802
  Care Compare affiliation
• Springhill Hospitals, Inc

  dba Springhill Memorial Hospital

  • General Acute Care Hospital
  • Mobile, AL
  • NPI 1003814971
  Care Compare affiliation

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

{
    "created_epoch": "1370131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1508203456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 DAUPHIN ST STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081725",
            "telephone_number": "251-340-6600",
            "fax_number": "251-479-7164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 DAUPHIN ST STE A",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366081725",
            "telephone_number": "251-340-6600",
            "fax_number": "251-479-7164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBOWE",
        "first_name": "RYAN",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-02",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "AL",
            "license": "37757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Plastic Surgery Physician in Mobile, AL
• Providers in Mobile, AL by specialty
• Plastic Surgery Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.