Individual provider Active NPI

Priya Rupesh, NP

  • Acute Care Nurse Practitioner
  • Pearland, TX
National Provider Identifier
1104472273
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
AP142621 Issued in TX
Practice address
11608 Vista Park CT
Pearland, TX 77584-7441
Phone
(832) 888-8363
NPI assigned
Aug 14, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP142621 TX Primary

Addresses

Primary practice location

11608 Vista Park CT
Pearland, TX 77584-7441

Mailing address

11608 Vista Park CT
Pearland, TX 77584-7441
Phone (832) 888-8363

Other names 1

  • Priya Thankappan Sulochana Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address PRIYA.RUPESH@hca2.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607000501 TX Practitioner - Nurse Practitioner 8820498215 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: prupeshrn37000@direct.utmb.edu

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1104472273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11608 VISTA PARK CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847441",
            "telephone_number": "832-888-8363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11608 VISTA PARK CT",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847441",
            "telephone_number": "832-888-8363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPESH",
        "first_name": "PRIYA",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2022-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP142621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "PRIYA.RUPESH@hca2.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "11608 Vista Park Ct",
            "city": "Pearland",
            "state": "TX",
            "country_code": "US",
            "postal_code": "775847441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PRIYA",
            "last_name": "SULOCHANA",
            "middle_name": "THANKAPPAN",
            "credential": "RN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.