Individual provider Active NPI

Linda S Rupert, MD

  • Dermatology Physician
  • Westerville, OH
National Provider Identifier
1306821533
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
35063009 Issued in OH
Practice address
428 County Line Road
Westerville, OH 43082-7027
Phone
(614) 847-4100
Fax
(614) 430-1601
NPI assigned
Dec 9, 2005
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 35063009 OH Primary

Addresses

Primary practice location

428 County Line Road
Westerville, OH 43082-7027

Mailing address

428 County Line Road
Westerville, OH 43082-7027
Phone (614) 847-4100

Other identifiers 2

IdentifierTypeStateIssuer
000000309777OtherOHANTHEM
P00086803OtherOHRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040114000345 OH Practitioner - Dermatology 1355242306 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio State University College of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Surgical Dermatology IncGroup PAC ID 9739087602, 33 clinicians

Practice addresses (Care Compare)

1550 London Ave
Marysville, OH 43040-8988
Phone (614) 847-4100

428 County Line Rd W
Westerville, OH 43082-7027
Phone (614) 847-4100

Merit-based Incentive Payment System (MIPS)

Final score
83.85 of 100Reported as group
Promoting interoperability
81
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Removal of tissue1-10
Removal of skin lesions1145
Removal or shaving of skin growth20
Skin biopsy201

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35063009OHMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Surgical Dermatology Inc Dermatology CurrentSince Jan 1, 2004 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Osu Internal Medicine Past Accepting new patients
Osu Internal Medicine, LLC Dermatology Past Accepting new patients
CSD ASC LLC Past Accepting new patients

Locations

170 Northwoods Blvd
Ste 10
Columbus, OH 43235
Phone (614) 436-7188

2000 Newark Granville Rd
Ste 202
Granville, OH 43023
Phone (740) 587-3376

1566 Monmouth Dr
Ste 201
Lancaster, OH 43130
Phone (740) 653-2224

1550 London Ave
Marysville, OH 43040
Phone (937) 553-2020

235 W Schrock Rd
Westerville, OH 43081
Phone (614) 895-0400

428 County Line Rd W
Westerville, OH 43082
Phone (614) 847-4100

428 County Line Rd W
Ste 100
Westerville, OH 43082
Phone (614) 847-4100

817 Forest Ave
Zanesville, OH 43701
Phone (740) 454-7546

Interoperability endpoints

  • Direct secure messaging: lrupert@qdp.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1306821533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 COUNTY LINE ROAD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827027",
            "telephone_number": "614-847-4100",
            "fax_number": "614-430-1601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 COUNTY LINE ROAD",
            "city": "WESTERVILLE",
            "state": "OH",
            "postal_code": "430827027",
            "telephone_number": "614-847-4100",
            "fax_number": "614-430-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPERT",
        "first_name": "LINDA",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35063009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000309777",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00086803",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westerville, OH

Sources for this page

Verify at the official NPI Registry.