Active NPI
Ronald Luke Rebenitsch, M.D.
- Ophthalmology Physician
- Oklahoma City, OK
National Provider Identifier
1740515436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 31188
- Practice address
- 7101 NW Expressway
Suite 335
Oklahoma City, OK 73132-1579 - Phone
- (405) 733-2020
- NPI assigned
- Oct 13, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | PT 13527 | ND | |
| Ophthalmology Physician | 207W00000X | 04-36398 | KS | |
| Ophthalmology Physician | 207W00000X | 31188 | OK | Primary |
Addresses
Primary practice location
7101 NW Expressway
Suite 335
Oklahoma City, OK 73132-1579
Mailing address
329 NE 3Rd St Apt 204
Oklahoma City, OK 73104-4080
Phone (701) 471-0796
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7101 NW Expressway
Suite 335
Oklahoma City, OK 73132-1561
Phone (405) 733-2020
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-36398 | KS | MD | Ophthalmology Physician |
| PT 13527 | ND | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Plano Vision PLLC | Ophthalmology | Current | Accepting new patients |
| Plano Eye Care Surgery Center PLLC | Current | Accepting new patients | |
| RLR Vision PLLC | Ophthalmology | Current | Accepting new patients |
Locations
7101 NW Expressway
Ste 335
Oklahoma City, OK 73132
Phone (405) 722-2020
5280 Towne Square Dr
Plano, TX 75024
Phone (214) 380-2020
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Oklahoma City, OK
- NPI 1851977755
-
- Ophthalmology Physician
- Plano, TX
- NPI 1598536344
-
- Ambulatory Surgical Clinic/Center
- Plano, TX
- NPI 1568227973
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480032000000",
"number": "1740515436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 NE 3RD ST APT 204",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731044080",
"telephone_number": "701-471-0796"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7101 NW EXPRESSWAY",
"address_2": "SUITE 335",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731321579",
"telephone_number": "405-733-2020"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REBENITSCH",
"first_name": "RONALD",
"middle_name": "LUKE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-10-13",
"last_updated": "2016-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "ND",
"license": "PT 13527",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KS",
"license": "04-36398",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "OK",
"license": "31188",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2016; 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.