Individual provider Active NPI

Yuliya Rekhtman, MD

  • Pediatric Gastroenterology Physician
  • Columbia, SC
National Provider Identifier
1609851336
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
51271 Issued in SC
Practice address
14 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6883
Phone
(803) 434-8450
Fax
(803) 434-0137
NPI assigned
Dec 15, 2005
Last updated
Dec 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 51271 SC Primary
Pediatric Gastroenterology Physician 2080P0206X D0063257 MD
Pediatric Gastroenterology Physician 2080P0206X 25MA12792000 NJ
Pediatric Gastroenterology Physician 2080P0206X MD035516 DC

Addresses

Primary practice location

14 Richland Medical Park Dr Ste 310
Columbia, SC 29203-6883

Mailing address

300 E McBee Ave FL 4
Greenville, SC 29601-2842
Phone (864) 522-8603

Other practice location 1

55 Madison Ave Fl 2
Morristown, NJ 07960-7337
Phone (973) 971-5676

Other practice location 2

3800 Reservoir Rd NW
Washington, DC 20007-2113
Phone (202) 444-5428

Other identifiers 1

IdentifierTypeStateIssuer
Q35516MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NJ2 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
I20170921001912 SC Practitioner - Pediatric MedicinePractitioner - Gastroenterology 7719914332
I20260109003381 NJ Practitioner - Pediatric MedicinePractitioner - Gastroenterology 7719914332 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Gastroenterology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

465 S St
Suite 103
Morristown, NJ 07960

465 S St
Suite 103
Morristown, NJ 07960-6442

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0063257MDMDPediatric Gastroenterology Physician
25MA12792000NJMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Gastroenterology of Greater Washington Current Accepting new patients
Practice Associates Medical Group Pediatric Gastroenterology CurrentSince Dec 15, 2025 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

100 Madison Ave
Morristown, NJ 07960
Phone (973) 538-5210

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.

NPI Registry JSON

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1609851336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E MCBEE AVE FL 4",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296012842",
            "telephone_number": "864-522-8603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 RICHLAND MEDICAL PARK DR STE 310",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292036883",
            "telephone_number": "803-434-8450",
            "fax_number": "803-434-0137"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Madison Ave Fl 2",
            "address_purpose": "LOCATION",
            "city": "Morristown",
            "state": "NJ",
            "postal_code": "079607337",
            "country_code": "US",
            "telephone_number": "973-971-5676",
            "fax_number": "973-290-7365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3800 Reservoir Rd NW",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200072113",
            "country_code": "US",
            "telephone_number": "202-444-5428",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REKHTMAN",
        "first_name": "YULIYA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-15",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "SC",
            "license": "51271",
            "primary": true
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "MD",
            "license": "D0063257",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "NJ",
            "license": "25MA12792000",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "DC",
            "license": "MD035516",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q35516",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.