Individual provider Active NPI

Marcus Deckard Ruopp

  • Geriatric Medicine (Internal Medicine) Physician
  • Newton, MA
National Provider Identifier
1316237522
Registry record updated Apr 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
258064 Issued in MA
Practice address
8 Arapahoe Rd
Newton, MA 02465-2203
Phone
(617) 716-9960
NPI assigned
Apr 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 258064 MA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 258064 MA Primary

Addresses

Primary practice location

8 Arapahoe Rd
Newton, MA 02465-2203

Mailing address

8 Arapahoe Rd
Newton, MA 02465-2203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20160523002566 MA Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 6103049671

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1302393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429660800000",
    "number": "1316237522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 ARAPAHOE RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024652203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 ARAPAHOE RD",
            "city": "NEWTON",
            "state": "MA",
            "postal_code": "024652203",
            "telephone_number": "617-716-9960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUOPP",
        "first_name": "MARCUS",
        "middle_name": "DECKARD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-04-10",
        "last_updated": "2015-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MA",
            "license": "258064",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "MA",
            "license": "258064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newton, MA

Sources for this page

Verify at the official NPI Registry.