Rebecca Leah Manevitz, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

13788 Issued in OK

Practice address

1 Valero Way
Ardmore, OK 73401-1615

Phone

(580) 221-6690

Fax

(210) 479-2010

NPI assigned

Jan 23, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in OK

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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 and National Provider Directory roles.

• HCC Duncan Inc

  • Hospitalist Physician
  • Duncan, OK
  • NPI 1013153543
  Medicare reassignment NPD
• Mercy Clinic Oklahoma Communities

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1386874550

  Internal Medicine

  Medicare reassignment NPD
• Premise Health of Oklahoma Medical PC

  • Multi-Specialty Clinic/Center
  • Ardmore, OK
  • NPI 1275360273
  NPD
• Moore Medical Center, LLC

  • General Acute Care Hospital
  • Moore, OK
  • NPI 1942258777
  NPD (past)

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

{
    "created_epoch": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633651200000",
    "number": "1639149644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 VALERO WAY",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011615",
            "telephone_number": "580-221-6690",
            "fax_number": "210-479-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 VALERO WAY",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734011615",
            "telephone_number": "580-221-6690",
            "fax_number": "210-479-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANEVITZ",
        "first_name": "REBECCA",
        "middle_name": "LEAH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-23",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "13788",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100002210B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Magee
• William Upchurch Maguire, RN
• Margaret Maher
• Fatima Mahmood
• Mama Knows, Inc.
• Abbygail Mannis
• Dee Ann Marshall, PAC
• John Marshall
• Payton Marshall
• Jorja Martel

• Internal Medicine Physician in Ardmore, OK
• Providers in Ardmore, OK by specialty
• Internal Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; 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.

Verify at the official NPI Registry.