Charles J Rebesco, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

01031652 Issued in IN

Practice address

7875 Grand Blvd
Hobart, IN 46342-6665

Phone

(219) 942-9658

Fax

(219) 947-1996

NPI assigned

Aug 25, 2005

Last updated

Aug 5, 2010By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Michiana Hematology-Oncology P C

  • Hematology & Oncology Physician
  • Plymouth, IN
  • NPI 1487793873
  NPD (past)

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

{
    "created_epoch": "1124928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1871586701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7875 GRAND BLVD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426665",
            "telephone_number": "219-942-9658",
            "fax_number": "219-947-1996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7875 GRAND BLVD",
            "city": "HOBART",
            "state": "IN",
            "postal_code": "463426665",
            "telephone_number": "219-942-9658",
            "fax_number": "219-947-1996"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REBESCO",
        "first_name": "CHARLES",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-25",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01031652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100379590A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Satya N Ramiah, D.O.
• Shashikant R. Rane, MD
• Nikola Ratic, DO
• Robert Brian Ray, D.D.S.
• Ladonna Rayner
• Thomas Culver Redfield Jr., D.C.
• Emily Marie Redick, PA-C
• Everette Redwell
• Virgil Eugene Reisinger, D.D.S.
• Rem Indiana (Indiana Mentor)

• Specialist in Hobart, IN
• Providers in Hobart, IN by specialty
• Specialist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.