Active NPI
Jamie Rup, PA
- Physician Assistant
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10004001A
- Practice address
- 7910 E Washington St Ste 200
Indianapolis, IN 46219-5563 - Phone
- (317) 355-7171
- NPI assigned
- Feb 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10004001A | IN | Primary |
Addresses
Primary practice location
7910 E Washington St Ste 200
Indianapolis, IN 46219-5563
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Other practice location 1
2040 N Shadeland Ave Ste 130
Indianapolis, IN 46219-1727
Phone (317) 355-2800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2040 N Shadeland Ave
Suite 130
Indianapolis, IN 46219-1727
Phone (317) 355-2800
7120 Clearvista Dr
Suite 4000
Indianapolis, IN 46256-1774
Phone (317) 621-7444
7910 E Washington St
Indianapolis, IN 46219-5563
Hospital & facility affiliations
- Community Hospital East
- Community Hospital North
- Community Hospital South, Inc.
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Physicians of Indiana Inc | Current | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
2040 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 355-2800
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7910 E Washington St
Ste 200
Indianapolis, IN 46219
Phone (317) 355-7171
Interoperability endpoints
- jrup562630@ecommunitydirect.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- General Practice Physician
- Livingston, TN
- NPI 1912167115
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1336119478
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1619163854
-
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1235109778
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1767571200000",
"number": "1205468543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7910 E WASHINGTON ST STE 200",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462195563",
"telephone_number": "317-355-7171"
}
],
"practiceLocations": [
{
"address_1": "2040 N Shadeland Ave Ste 130",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462191727",
"country_code": "US",
"telephone_number": "317-355-2800",
"fax_number": "317-355-2828",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUP",
"first_name": "JAMIE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-02-05",
"last_updated": "2026-01-05",
"certification_date": "2026-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IN",
"license": "10004001A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.