Marcelina Rupley, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

J2771 Issued in TX

Practice address

1016 N Virginia St
Port Lavaca, TX 77979-3000

Phone

(361) 552-0325

Fax

(361) 500-6904

NPI assigned

Jul 6, 2005

Sex

Female

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 9

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

Locations

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.

• Memorial Medical Center

  dba Tuscany Village

  • Skilled Nursing Facility
  • Pearland, TX
  • NPI 1275717894
  NPD
• Memorial Medical Center

  • Critical Access Hospital
  • Port Lavaca, TX
  • NPI 1689630865
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)
• Lone Star Circle of Care

  dba Lone Star Circle of Care at Georgetown Dental

  • Federally Qualified Health Center (FQHC)
  • Georgetown, TX
  • NPI 1639129331
  NPD (past)
• Pediatric Healthcare of Northwest Houston PA

  • Pediatrics Physician
  • Houston, TX
  • NPI 1083752059
  NPD (past)
• Sadler Clinic Association

  dba Sadler Clinic

  • Multi-Specialty Clinic/Center
  • Conroe, TX
  • NPI 1114979127
  NPD (past)
• Sunshine Pediatrics LLC

  • Specialist
  • Seattle, WA
  • NPI 1871275586
  NPD (past)
• Sunshine Pediatrics, LLC

  • Pediatrics Physician
  • Auburn, AL
  • NPI 1811595226
  NPD (past)

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

{
    "created_epoch": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1346247301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1016 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793000",
            "telephone_number": "361-552-0325",
            "fax_number": "361-500-6904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 N VIRGINIA ST",
            "city": "PORT LAVACA",
            "state": "TX",
            "postal_code": "779793000",
            "telephone_number": "361-552-0325",
            "fax_number": "361-500-6904"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "416 Frankford Ave",
            "address_purpose": "LOCATION",
            "city": "Lubbock",
            "state": "TX",
            "postal_code": "794164162",
            "country_code": "US",
            "telephone_number": "806-761-0536",
            "fax_number": "806-761-0537",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUPLEY",
        "first_name": "MARCELINA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-06",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J2771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1379281-12",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137928115",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID",
            "identifier": "183956501",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICAID TXHEALTHSTEP",
            "identifier": "183956502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1083752059",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137928101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137928106",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TX HEALTHSTEP NPI",
            "identifier": "1447372123",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP NUMBER",
            "identifier": "00J21A",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Radiology Unlimited, PA
• Raymond P Dickey
• Regency Nursing Center Partners of Port Lavaca, LTD (Port Lavaca Nursing and Rehabilitation Center)
• Christina Rioux
• Kenneth Stephen Roca, MD
• Mercedes Schultz, MD
• Andrew Kent Seamans, DDS
• Ebenezer Semere
• Craig Shaffer, M.D.
• Traci Shefcik, FNP

• Pediatrics Physician in Port Lavaca, TX
• Providers in Port Lavaca, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2024; 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.