Dale G Rupprecht, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

5601001704 Issued in MI

Practice address

1667 Hamilton Rd
Okemos, MI 48864-1809

Phone

(517) 349-9551

Fax

(517) 349-7650

NPI assigned

Aug 19, 2006

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

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dale.rupprecht.1@15091.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/15265/brand/1/csg/1/fhir/r4

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.

• Bosworth Urgent Care PC

  • Urgent Care Clinic/Center
  • Okemos, MI
  • NPI 1275746091
  Medicare reassignment NPD
• Grand River Family Care, PC

  • Family Medicine Physician
  • Okemos, MI
  • NPI 1396301719
  Medicare reassignment
• McLaren Medical Group

  • Diagnostic Radiology Physician
  • Lapeer, MI
  • NPI 1073650750
  NPD (past)

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

{
    "created_epoch": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1346354958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1667 HAMILTON RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641809",
            "telephone_number": "517-349-9551",
            "fax_number": "517-349-7650"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1667 HAMILTON RD",
            "city": "OKEMOS",
            "state": "MI",
            "postal_code": "488641809",
            "telephone_number": "517-349-9551",
            "fax_number": "517-349-7650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPPRECHT",
        "first_name": "DALE",
        "middle_name": "G",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601001704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jade Ruble
• Emma Ruch
• Amber Annette Ruhstorfer
• Lilianna Ruiz
• Sabrina Ruiz
• Emily Rusch
• Sandra K Russell, DO
• Emma Russold
• Saanch Rustagi
• Kipp Edward Rustenholtz, PA-C

• Physician Assistant in Okemos, MI
• Providers in Okemos, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.