Active NPI
Rekha Kostecke, M.D., P.C.
- Pediatrics Physician
- Milford, MI
National Provider Identifier
1992088595
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 4301055825
- Legal business name
- REKHA KOSTECKE, M.D., P.C.
- Practice address
- 1550 N Milford Rd
Suite 307
Milford, MI 48381-1058 - Phone
- (248) 676-0991
- Fax
- (248) 676-9862
- NPI assigned
- Sep 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Rekha Kostecke, M.D.
- Title
- President
- Phone
- (248) 676-0991
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 4301055825 | MI | Primary |
Addresses
Primary practice location
1550 N Milford Rd
Suite 307
Milford, MI 48381-1058
Mailing address
1550 N Milford Rd
Suite 307
Milford, MI 48381-1058
Phone (248) 676-0991
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4078235-10 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
1550 N Milford Rd
Ste 307
Milford, MI 48381
Phone (248) 676-0991
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Milford, MI
- NPI 1285676940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1316563200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1316563200000",
"number": "1992088595",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1550 N MILFORD RD",
"address_2": "SUITE 307",
"city": "MILFORD",
"state": "MI",
"postal_code": "483811058",
"telephone_number": "248-676-0991",
"fax_number": "248-676-9862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1550 N MILFORD RD",
"address_2": "SUITE 307",
"city": "MILFORD",
"state": "MI",
"postal_code": "483811058",
"telephone_number": "248-676-0991",
"fax_number": "248-676-9862"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REKHA KOSTECKE, M.D., P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-21",
"last_updated": "2011-09-21",
"status": "A",
"authorized_official_last_name": "KOSTECKE",
"authorized_official_first_name": "REKHA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "248-676-0991",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "MI",
"license": "4301055825",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4078235-10",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Milford, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.