DR. REBECCA MARIE LORET DE MOLA D.O.
NPI 1558515957
Pediatrics - Pediatric Hematology-Oncology in Grand Rapids, MI
About Dr. Rebecca Marie Loret De Mola D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. REBECCA MARIE LORET DE MOLA D.O. (NPI 1558515957) is an individual pediatric hematology-oncology provider in Grand Rapids, Michigan, licensed in Michigan (5101024855) and active in the NPI registry since November 2008. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Rebecca Marie Loret De Mola D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
GRAND RAPIDS, MI 49503
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Rebecca Loret De Mola's NPI number?
The NPI number for Rebecca Loret De Mola is 1558515957. It was assigned to this individual provider in the NPPES registry on November 11, 2008.
Where is Rebecca Loret De Mola located?
Rebecca Loret De Mola practices at 100 Michigan St NE, Grand Rapids, MI 49503. The listed phone number is (616) 267-1925.
What is Rebecca Loret De Mola's specialty?
The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Hematology-Oncology, with taxonomy code 2080P0207X.
Is Rebecca Loret De Mola enrolled in Medicare?
Yes. Rebecca Loret De Mola is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Rebecca Loret De Mola was last updated on January 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. Rebecca Marie Loret De Mola, D.O. · NPI 1558515957
Pediatric Hematology-Oncology physician in Grand Rapids, Michigan. Individual provider, active in the CMS NPPES registry since November 11, 2008.
## Identity
- **NPI:** 1558515957 (Entity type: Individual)
- **Enumerated:** November 11, 2008
- **Primary specialty:** Pediatrics - Pediatric Hematology-Oncology · taxonomy 2080P0207X
- **State license:** 5101024855 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 100 MICHIGAN ST NE, Grand Rapids, MI 49503-2560
- **Phone:** (616) 267-1925
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 28, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1558515957) · Data from the CMS NPPES public registry.