Active NPI
Rupan Deep Kaur
- Family Medicine Physician
- Wheeling, WV
National Provider Identifier
1508546052
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 1806
- Practice address
- 40 Medical Park
Wheeling, WV 26003-6392 - Phone
- (304) 243-3330
- Fax
- (304) 243-3891
- NPI assigned
- Jul 19, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 1806 | WV | Primary |
| Internal Medicine Physician | 207R00000X | MT229637 | PA |
Addresses
Primary practice location
40 Medical Park
Wheeling, WV 26003-6392
Mailing address
40 Medical Park Ste 406
Wheeling, WV 26003-6392
Phone (304) 243-3891
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MT229637 | PA | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719705600000",
"number": "1508546052",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "40 MEDICAL PARK STE 406",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036392",
"telephone_number": "304-243-3891"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 MEDICAL PARK",
"city": "WHEELING",
"state": "WV",
"postal_code": "260036392",
"telephone_number": "304-243-3330",
"fax_number": "304-243-3891"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KAUR",
"first_name": "RUPAN DEEP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-07-19",
"last_updated": "2024-06-30",
"certification_date": "2024-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WV",
"license": "1806",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MT229637",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wheeling, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.