Active NPI
Rebekah Joanne Israel
- Neurology Physician
- Madison, IN
National Provider Identifier
1861135386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01100362A
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300137026 | Medicaid | IN | |
| 7101177030 | Medicaid | KY |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220616002144 | OH | Order and Referring Only - 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
- Robin L Hudson, DNP, FNP-BC
- Rachel Makenna Humphrey, MA
- Indiana Sleep & Respiratory Care Inc
- Infants in Bloom
- Michael E Israel, M.D.
- James W Jackson, M.D.
- James Wortham Counseling Services Inc
- Jefferson County Auditor (Jefferson County Health Department)
- Jefferson County Chiropractic Inc
- Jefferson Lake Emergency Physicians LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.