Individual provider Active NPI

Emily Katherine Rekuc, D.O.

  • Obstetrics & Gynecology Physician
  • La Quinta, CA
National Provider Identifier
1942491634
Registry record updated Jan 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
20A11655 Issued in CA
Practice address
79440 Highway 111 Ste 105
La Quinta, CA 92253-4500
Phone
(760) 777-4067
Fax
(760) 777-4096
NPI assigned
Aug 7, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X OT012235 PA
Obstetrics & Gynecology Physician 207V00000X 20A11655 CA Primary

Addresses

Primary practice location

79440 Highway 111 Ste 105
La Quinta, CA 92253-4500

Mailing address

PO Box 6702
La Quinta, CA 92248-6702
Phone (760) 777-4067

Other names 1

  • Emily Queen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110914000368 CA Practitioner - Obstetrics/Gynecology 2264603711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emily Rekuc DO IncGroup PAC ID 2769640986, 3 clinicians

Practice addresses (Care Compare)

79440 Hwy 111
Suite 105
La Quinta, CA 92253-4500
Phone (760) 777-4067

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
OT012235PAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emily Rekuc D.O., Inc. Obstetrics & Gynecology CurrentSince Jan 1, 2012 Accepting new patients
Advanced Women'S Healthcare, a Medical Corporation Obstetrics & Gynecology Past Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients

Locations

81719 Doctor Carreon Blvd
Ste C-1
Indio, CA 92201

79440 Highway 111
Ste 105
La Quinta, CA 92253
Phone (760) 777-4067

79440 Highway 111
Ste 5
La Quinta, CA 92253

Interoperability endpoints

  • Direct secure messaging: emilyrekucdoinc.emilyrekuc@123986.advancedmd-direct.com

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1186444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546819200000",
    "number": "1942491634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6702",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922486702",
            "telephone_number": "760-777-4067",
            "fax_number": "760-777-4096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79440 HIGHWAY 111 STE 105",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534500",
            "telephone_number": "760-777-4067",
            "fax_number": "760-777-4096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REKUC",
        "first_name": "EMILY",
        "middle_name": "KATHERINE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-07",
        "last_updated": "2019-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "PA",
            "license": "OT012235",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "20A11655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "QUEEN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Quinta, CA

Sources for this page

Verify at the official NPI Registry.