Active NPI
Rupen Suresh Amin, M.D.
- Family Medicine Physician
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 320993
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376709493 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, IN, TN, TX, IL, NY, NJ, WI, MI, FL, WA, PA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 13
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA11713300 | NY | MD | Family Medicine Physician |
| 320993 | NY | MD | Family Medicine Physician |
| 61466 | TN | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Medical Services of New Jersey LLC | Family Medicine | Current | Accepting new patients |
| Harmony Medical Services of New York, PLLC | Family Medicine | Current | Accepting new patients |
| Iah of Florida, LLC | Family Medicine | Current | Accepting new patients |
| Iah of Texas, PLLC | Family Medicine | Current | Accepting new patients |
| Harmony Medical Services of New Jersey LLC | Family Medicine | Current | Accepting new patients |
| Iah of Wisconsin, PLLC | Family Medicine | Current | Accepting new patients |
| Osh-Oh Physicians Group PC | Family Medicine | Past | Accepting new patients |
| Oak Street Health Physicians Group of Tennessee, PLLC | Family Medicine | Past | Accepting new patients |
| Osh-Mi Physicians Group PC | Family Medicine | Past | 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
- 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.
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Troy, MI
- NPI 1578969705
PA, VA
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Irving, TX
- NPI 1487051231
-
dba Harmonycares Medical Group
- Family Medicine Physician
- Montclair, NJ
- NPI 1649873183
-
dba Harmonycares Medical Group
- Family Medicine Physician
- Whitestone, NY
- NPI 1669178448
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Jacksonville, FL
- NPI 1750787982
-
dba HarmonyCares Medical Group
- Family Medicine Physician
- Brookfield, WI
- NPI 1861898090
-
dba Harmonycares Medical Group
- Family Medicine Physician
- Montclair, NJ
- NPI 1356048573
-
- Internal Medicine Physician
- Memphis, TN
- NPI 1760116172
Family Medicine
-
- Family Medicine Physician
- Greensboro, NC
- NPI 1033766092
-
dba OSH-OH Physicians Group, LLC
- Primary Care Clinic/Center
- Cleveland, OH
- NPI 1346747946
Family Medicine
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.