Active NPI
Rebecca Susanne Rockers, M.D.
- Family Medicine Physician
- South Bend, IN
National Provider Identifier
1598748121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01048955A
- Practice address
- 3371 W Cleveland Road Ext Ste 120
South Bend, IN 46628-9780 - Phone
- (574) 219-6700
- Fax
- (574) 218-6708
- NPI assigned
- Nov 29, 2005
- Last updated
- Jun 18, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01048955A | IN | Primary |
Addresses
Primary practice location
3371 W Cleveland Road Ext Ste 120
South Bend, IN 46628-9780
Mailing address
3371 W Cleveland Road Ext Ste 201
South Bend, IN 46628-9780
Phone (574) 218-6700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220525001993 | IN | Order and Referring Only - Family Practice | 5597861591 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01048955A | IN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Everside Health, LLC | Current | Accepting new patients | |
| Everside Health LLC | Family Medicine | Current | Accepting new patients |
Locations
3371 W Cleveland Road Ext
Ste 120
South Bend, IN 46628
Phone (574) 218-6700
Interoperability endpoints
- rebecca.rockers.1@14940.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Clinic/Center
- South Bend, IN
- NPI 1497306310
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133222400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655510400000",
"number": "1598748121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3371 W CLEVELAND ROAD EXT STE 201",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466289780",
"telephone_number": "574-218-6700",
"fax_number": "574-218-6708"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3371 W CLEVELAND ROAD EXT STE 120",
"city": "SOUTH BEND",
"state": "IN",
"postal_code": "466289780",
"telephone_number": "574-219-6700",
"fax_number": "574-218-6708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROCKERS",
"first_name": "REBECCA",
"middle_name": "SUSANNE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-29",
"last_updated": "2022-06-18",
"certification_date": "2022-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01048955A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in South Bend, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2022; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.