Stephen Brian Rupp, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

4301055664 Issued in MI

Practice address

605 Oak St
Big Rapids, MI 49307-2048

Phone

(616) 364-6700

Fax

(616) 364-4960

NPI assigned

Jul 29, 2006

Last updated

Dec 21, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: srupp41425@direct.trinity-health.org

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.

• Imaging Consultants, PLLC

  • Diagnostic Radiology Physician
  • Big Rapids, MI
  • NPI 1477705549
  Authorized official Same address or phone
• Kent Radiology PC

  • Diagnostic Radiology Physician
  • Grand Rapids, MI
  • NPI 1760416960
  NPD (past)
• Spectrum Health Saint Marys Shared Technology Services Inc

  dba Pet Medical Imaging & Pet Medical Imaging Center

  • Radiology Clinic/Center
  • Grand Rapids, MI
  • NPI 1376597385
  NPD (past)

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

{
    "created_epoch": "1154131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482278400000",
    "number": "1326053620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 186",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49501",
            "telephone_number": "616-364-6700",
            "fax_number": "616-364-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OAK ST",
            "city": "BIG RAPIDS",
            "state": "MI",
            "postal_code": "493072048",
            "telephone_number": "616-364-6700",
            "fax_number": "616-364-4960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "STEPHEN",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-29",
        "last_updated": "2016-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301055664",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300045861",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2639651100",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chad Rosen, OD
• Marcus D Routley
• Allison Royston
• Theresa Ann Ruelle, LMSW
• Thomas James Rundquist, M.A. L.P.C.
• Russell Rehabilitation Services LLC
• Jonathan Michael Russell, PA-C
• Mandy R Russell, O.D.
• Tracy Helen Sackett-Foster, P.A.C.
• Komal Saini

• Diagnostic Radiology Physician in Big Rapids, MI
• Providers in Big Rapids, MI by specialty
• Diagnostic Radiology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.