Individual provider Active NPI

Paul J. Rupp, M.D.

  • Family Medicine Physician
  • Oxford, OH
National Provider Identifier
1427099118
Registry record updated Apr 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35064341 Issued in OH
Practice address
500 Harris Dr
Oxford, OH 45056-3640
Phone
(513) 529-3000
Fax
(513) 852-7446
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 35064341 OH Primary

Addresses

Primary practice location

500 Harris Dr
Oxford, OH 45056-3640

Mailing address

4685 Forest Ave
Cincinnati, OH 45212-3397
Phone (513) 853-4722

Other identifiers 2

IdentifierTypeStateIssuer
2036657MedicaidOH
P00919630OtherOHMEDICARE RR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070423000121 OH Practitioner - Family Practice 4981709870 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35064341OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth H LLC CurrentSince Mar 22, 2022 Accepting new patients
Trihealth HF LLC Family Medicine CurrentSince Mar 29, 2021 Accepting new patients
University of Cincinnati Physicians Company, LLC Family Medicine CurrentSince Nov 7, 2007 Accepting new patients
Greater Cincinnati Associated Physicians, Inc Family Medicine Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2859 Boudinot Ave
Ste 107
Cincinnati, OH 45238
Phone (513) 389-3105

375 Dixmyth Ave
Ste 3135
Cincinnati, OH 45220
Phone (513) 862-3452

5575 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 385-3113

4631 Ridge Ave
#A
Cincinnati, OH 45209
Phone (513) 631-1268

6350 Cheviot Rd
Cincinnati, OH 45247
Phone (513) 741-1414

375 Dixmyth Ave
Cincinnati, OH 45220
Phone (513) 862-2432

8700 S Mason Montgomery Rd
Mason, OH 45040
Phone (513) 977-0079

500 Harris Dr
Oxford, OH 45056
Phone (513) 529-3000

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617580800000",
    "number": "1427099118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4685 FOREST AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452123397",
            "telephone_number": "513-853-4722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HARRIS DR",
            "city": "OXFORD",
            "state": "OH",
            "postal_code": "450563640",
            "telephone_number": "513-529-3000",
            "fax_number": "513-852-7446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "PAUL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2021-04-05",
        "certification_date": "2021-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35064341",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2036657",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00919630",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, OH

Sources for this page

Verify at the official NPI Registry.