Individual provider Active NPI

Rupen Suresh Amin, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1376709493
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
320993 Issued in NY
Practice address
2360 Gus Thomasson Rd
Dallas, TX 75228
Phone
(214) 301-7071
NPI assigned
Jul 29, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101248233 VA
Family Medicine Physician 207Q00000X S6111 TX
Family Medicine Physician 207Q00000X 25MA11713300 NY
Family Medicine Physician 207Q00000X 01081343A IN
Family Medicine Physician 207Q00000X 320993 NY Primary

Addresses

Primary practice location

2360 Gus Thomasson Rd
Dallas, TX 75228

Mailing address

500 Kirts Blvd Ste 100
Troy, MI 48084-4135
Phone (248) 434-6169

Other practice location 1

4115 E Lancaster Ave
Fort Worth, TX 76103-3614
Phone (817) 796-7370

Other practice location 2

2010 Health Campus Dr
Harrisonburg, VA 22801-8679
Phone (540) 689-1110

Other practice location 3

4900 Broadway
Gary, IN 46408-4605
Phone (219) 237-5170

Other practice location 4

1950 Ephriham Ave
Fort Worth, TX 76164-6670
Phone (817) 813-7075

Other practice location 5

9001 Wesleyan Rd Ste 100
Indianapolis, IN 46268-1176
Phone (574) 247-1911

Other identifiers 1

IdentifierTypeStateIssuer
1376709493MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, IN, TN, TX, IL, NY, NJ, WI, MI, FL, WA, PA, OH13 enrollments
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 13

Enrollment IDStateProvider typePAC IDDetails
I20110404000836 VA Practitioner - Family Practice 9234313933 Reassigns benefits to 1 organization
I20190102003150 IN Practitioner - Family Practice 9234313933
I20200330000682 TN Practitioner - Family Practice 9234313933 Reassigns benefits to 1 organization
I20200601001902 TX Practitioner - Family Practice 9234313933 Reassigns benefits to 1 organization
I20210813002588 IL Practitioner - Family Practice 9234313933
I20230612002527 NY Practitioner - Family Practice 9234313933 Reassigns benefits to 1 organization
I20230620000055 NJ Practitioner - Family Practice 9234313933 Reassigns benefits to 1 organization
I20230906000674 WI Practitioner - Family Practice 9234313933 Reassigns benefits to 1 organization
I20240305003422 MI Practitioner - Internal Medicine 9234313933 Reassigns benefits to 1 organization
I20240319000474 FL Practitioner - Internal Medicine 9234313933 Reassigns benefits to 1 organization
I20240322000840 WA Practitioner - Family Practice 9234313933
I20241108002869 PA Practitioner - Family Practice 9234313933 Reassigns benefits to 1 organization
I20241114001114 OH Practitioner - Family Practice 9234313933

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iah of Michigan PLLCGroup PAC ID 9739404666, 3 clinicians

Practice addresses (Care Compare)

Berwyn, PA 19312
Phone (215) 346-6050

Columbus, OH 43235
Phone (614) 840-1688

Troy, MI 48084
Phone (214) 824-6000

117 W755 Butterfield Rd
Unit 104
Oakbrook Terrace, IL 60181-0001
Phone (312) 818-4650

293 Independence Blvd
Virginia Beach, VA 23462-5466
Phone (757) 853-1380

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA11713300NYMDFamily Medicine Physician
320993NYMDFamily Medicine Physician
61466TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harmony Medical Services of New Jersey LLC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Harmony Medical Services of New York, PLLC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Iah of Florida, LLC Family Medicine CurrentSince Feb 28, 2024 Accepting new patients
Iah of Texas, PLLC Family Medicine CurrentSince Feb 28, 2024 Accepting new patients
Harmony Medical Services of New Jersey LLC Family Medicine CurrentSince Jun 1, 2023 Accepting new patients
Iah of Wisconsin, PLLC Family Medicine CurrentSince Jul 24, 2023 Accepting new patients
Osh-Oh Physicians Group PC Family Medicine PastSince Jan 7, 2018 Accepting new patients
Oak Street Health Physicians Group of Tennessee, PLLC Family Medicine PastSince Jul 17, 2022 Accepting new patients
Osh-Mi Physicians Group PC Family Medicine PastSince Mar 23, 2020 Accepting new patients

Locations

2600 Lake Lucien Dr
Ste 112
Maitland, FL 32751
Phone (321) 207-9029

500 Kirts Blvd
Ste 100
Troy, MI 48084
Phone (214) 824-6000

28 Valley Rd
Montclair, NJ 07042
Phone (908) 451-8519

1 Riverfront Plz
Ste 300
Newark, NJ 07102
Phone (201) 273-7047

11835 Queens Blvd
Ste 400
Forest Hills, NY 11375
Phone (646) 722-7610

1802 Petracca Pl
Ste 103
Whitestone, NY 11357
Phone (646) 722-7610

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

13555 Bishops Ct
Ste 315
Brookfield, WI 53005
Phone (414) 255-0300

Interoperability endpoints

  • Direct secure messaging: rupen.amin.1@32913.direct.athenahealth.com

Organizations & group practices 11

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": "1217289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1376709493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 KIRTS BLVD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480844135",
            "telephone_number": "248-434-6169",
            "fax_number": "855-618-6655"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2360 GUS THOMASSON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "75228",
            "telephone_number": "214-301-7071"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4115 E Lancaster Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761033614",
            "country_code": "US",
            "telephone_number": "817-796-7370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2010 Health Campus Dr",
            "address_purpose": "LOCATION",
            "city": "Harrisonburg",
            "state": "VA",
            "postal_code": "228018679",
            "country_code": "US",
            "telephone_number": "540-689-1110",
            "fax_number": "540-689-1119",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 Broadway",
            "address_purpose": "LOCATION",
            "city": "Gary",
            "state": "IN",
            "postal_code": "464084605",
            "country_code": "US",
            "telephone_number": "219-237-5170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1950 Ephriham Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761646670",
            "country_code": "US",
            "telephone_number": "817-813-7075",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9001 Wesleyan Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462681176",
            "country_code": "US",
            "telephone_number": "574-247-1911",
            "fax_number": "574-247-1912",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "RUPEN",
        "middle_name": "SURESH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-29",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101248233",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S6111",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "25MA11713300",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01081343A",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "320993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376709493",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.