Individual provider Active NPI

Rebekah Joanne Israel

  • Neurology Physician
  • Madison, IN
National Provider Identifier
1861135386
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
01100362A Issued in IN
Practice address
1373 E State Road 62 Ste 1D
Madison, IN 47250-7328
Phone
(812) 801-0806
Fax
(812) 801-0807
NPI assigned
Apr 14, 2022
Last updated
Oct 14, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Neurology Physician 2084N0400X 01100362A IN Primary

Addresses

Primary practice location

1373 E State Road 62 Ste 1D
Madison, IN 47250-7328

Mailing address

30 E Apple St Ste 6257
Dayton, OH 45409-2939
Phone (937) 208-4200

Other practice location 1

30 E Apple St Ste 6257
Dayton, OH 45409-2939
Phone (937) 208-4200

Other practice location 2

2051 Clevidence Blvd Ste B
Clarksville, IN 47129-2278
Phone (812) 801-0806

Other practice location 3

207 Sparks Ave Ste 300
Jeffersonville, IN 47130-3739
Phone (812) 218-7978

Other identifiers 2

IdentifierTypeStateIssuer
300137026MedicaidIN
7101177030MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220616002144 OH Order and Referring Only - NeurologyPractitioner - Neurology 4587043815

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791936000000",
    "number": "1861135386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 E APPLE ST STE 6257",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092939",
            "telephone_number": "937-208-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1373 E STATE ROAD 62 STE 1D",
            "city": "MADISON",
            "state": "IN",
            "postal_code": "472507328",
            "telephone_number": "812-801-0806",
            "fax_number": "812-801-0807"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 E Apple St Ste 6257",
            "address_purpose": "LOCATION",
            "city": "Dayton",
            "state": "OH",
            "postal_code": "454092939",
            "country_code": "US",
            "telephone_number": "937-208-4200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2051 Clevidence Blvd Ste B",
            "address_purpose": "LOCATION",
            "city": "Clarksville",
            "state": "IN",
            "postal_code": "471292278",
            "country_code": "US",
            "telephone_number": "812-801-0806",
            "fax_number": "812-801-0807",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "207 Sparks Ave Ste 300",
            "address_purpose": "LOCATION",
            "city": "Jeffersonville",
            "state": "IN",
            "postal_code": "471303739",
            "country_code": "US",
            "telephone_number": "812-218-7978",
            "fax_number": "812-218-6589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "REBEKAH",
        "middle_name": "JOANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IN",
            "license": "01100362A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300137026",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7101177030",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, IN

Sources for this page

Verify at the official NPI Registry.