NPIMap

Individual provider Active NPI

Rupdev S Khosa, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Arcadia, CA
National Provider Identifier
1033210497
Registry record updated Feb 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
A54411 Issued in CA
Practice address
550 W Duarte Rd Ste 4
Arcadia, CA 91007-7360
Phone
(626) 445-7500
Fax
(626) 445-7555
NPI assigned
Sep 26, 2006
Last updated
Feb 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X A54411 CA Primary

Addresses

Primary practice location

550 W Duarte Rd Ste 4
Arcadia, CA 91007-7360

Mailing address

550 W Duarte Rd Ste 4
Arcadia, CA 91007-7360
Phone (626) 445-7500

Other identifiers 3

IdentifierTypeStateIssuer
00A544110MedicaidCA
00A4544110OtherCABC/BS
250011214OtherCARAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100917000273 CA Practitioner - Physical Medicine and Rehabilitation 3274658901 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

550 W Duarte Rd
Suite 4
Arcadia, CA 91007-7360
Phone (626) 445-7500

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sukhpal K Gill MD a Medical Corporation CurrentSince Jul 1, 2010 Accepting new patients
Ahmc Greater El Monte Comm Hosp LLC Past Accepting new patients

Locations

550 W Duarte Rd
Ste 4
Arcadia, CA 91007
Phone (626) 445-7500

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEHCBA/Endpoint/EEHCBA

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265241600000",
    "number": "1033210497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 W DUARTE RD STE 4",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077360",
            "telephone_number": "626-445-7500",
            "fax_number": "626-445-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W DUARTE RD STE 4",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077360",
            "telephone_number": "626-445-7500",
            "fax_number": "626-445-7555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHOSA",
        "first_name": "RUPDEV",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-26",
        "last_updated": "2010-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A54411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A544110",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "00A4544110",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "250011214",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcadia, CA

Sources for this page

Verify at the official NPI Registry.