Individual provider Active NPI

Rekha Elizabeth John, M.D.

  • Nephrology Physician
  • Kinston, NC
National Provider Identifier
1619979846
Registry record updated Dec 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
200001497 Issued in NC
Practice address
608A Airport Rd
Kinston, NC 28504-8210
Phone
(252) 523-8513
Fax
(252) 317-2096
NPI assigned
Jun 1, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 200001497 NC Primary

Addresses

Primary practice location

608A Airport Rd
Kinston, NC 28504-8210

Mailing address

608A Airport Rd
Kinston, NC 28504-8210
Phone (252) 523-8513

Other identifiers 1

IdentifierTypeStateIssuer
891281UMedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20100218000545 NC Practitioner - NephrologyPractitioner - Internal Medicine 6608766704 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Nephrology Associates PLLCGroup PAC ID 2264420512, 75 clinicians

Practice addresses (Care Compare)

511 Paladin Dr
Greenville, NC 27834-7826
Phone (252) 752-8880

Hospital & facility affiliations

  • FMC Vernon Dialysis Unit Dialysis facility, Kinston, NC, CCN 342609
  • Unc Lenoir Health Care Hospital, Kinston, NC, CCN 340027
  • Unc Health Care Wayne Hospital, Goldsboro, NC, CCN 340010
  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040
  • Vidant Duplin Hospital Hospital, Kenansville, NC, CCN 340120

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Nephrology Associates PLLC Nephrology CurrentSince Dec 1, 2000 Accepting new patients

Locations

511 Paladin Dr
Greenville, NC 27834
Phone (252) 317-2280

608 Airport Rd
Kinston, NC 28504
Phone (252) 523-8513

608 Airport Rd
#A
Kinston, NC 28504
Phone (252) 523-8512

Interoperability endpoints

  • Direct secure messaging: rekhajohn@ena.allscriptsdirect.net
  • Direct secure messaging: rjohn22337@direct.acumenmd.com

Organizations & group practices 1

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 7

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": "1117584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1324512000000",
    "number": "1619979846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608A AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285048210",
            "telephone_number": "252-523-8513",
            "fax_number": "252-317-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608A AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285048210",
            "telephone_number": "252-523-8513",
            "fax_number": "252-317-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHN",
        "first_name": "REKHA",
        "middle_name": "ELIZABETH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-01",
        "last_updated": "2011-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "200001497",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891281U",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.