Individual provider Active NPI

David Rupacz, PA-C

  • Physician Assistant
  • West Springfield, MA
National Provider Identifier
1497408447
Registry record updated Jan 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA8626 Issued in MA
Practice address
54 Tiara LN
West Springfield, MA 01089-3272
Phone
(413) 244-2325
NPI assigned
Jan 31, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA8626 MA Primary

Addresses

Primary practice location

54 Tiara LN
West Springfield, MA 01089-3272

Mailing address

54 Tiara LN
West Springfield, MA 01089-3272
Phone (413) 244-2325

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20220630002114 MA Practitioner - Physician Assistant 6305226861 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

150 Flanders Rd
Westborough, MA 01581-1017
Phone (781) 890-2133

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA8626MAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
New England Orthopedic Surgeons Physician Assistant CurrentSince Jul 18, 2022 Accepting new patients
Northeast Orthopaedic Alliance PLLC CurrentSince Mar 1, 2024 Accepting new patients
Algo Health LTD PastSince Feb 1, 2026 Accepting new patients

Locations

265 Benton Dr
Ste 101
East Longmeadow, MA 01028
Phone (714) 785-4666

325B King St
Ste 101
Northampton, MA 01060

300 Birnie Ave
Ste 201
Springfield, MA 01107
Phone (413) 233-1292

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

Organizations & group practices 4

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1643587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706572800000",
    "number": "1497408447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 TIARA LN",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893272",
            "telephone_number": "413-244-2325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 TIARA LN",
            "city": "WEST SPRINGFIELD",
            "state": "MA",
            "postal_code": "010893272",
            "telephone_number": "413-244-2325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPACZ",
        "first_name": "DAVID",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-31",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA8626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Springfield, MA

Sources for this page

Verify at the official NPI Registry.