Kathleen Nicole Rupp, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

BH7491614 Issued in PA

Practice address

3 Baden Powell LN
Suite 4
Mechanicsburg, PA 17050-5270

Phone

(717) 766-1566

Fax

(717) 766-2604

NPI assigned

Oct 4, 2006

Last updated

Apr 16, 2013By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Ophthalmology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.11 of 100Reported as individual

Quality

100

Improvement activities

40

Cost

63.68

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Hartzell Rupp Ophthalmology P.C.

  • Ophthalmology Physician
  • Mechanicsburg, PA
  • NPI 1336416940
  Medicare reassignment NPD Authorized official
• David L Hartzell MD

  dba Hartzell Eye MDS

  • Ophthalmology Physician
  • Carlisle, PA
  • NPI 1598987646
  NPD (past)
• Hartzell Eye Specialists, LLC

  • Ophthalmology Physician
  • Carlisle, PA
  • NPI 1861761512
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1548355522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 BADEN POWELL LN",
            "address_2": "SUITE 4",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170505270",
            "telephone_number": "717-766-1566",
            "fax_number": "717-766-2604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 BADEN POWELL LN",
            "address_2": "SUITE 4",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170505270",
            "telephone_number": "717-766-1566",
            "fax_number": "717-766-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "KATHLEEN",
        "middle_name": "NICOLE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "BH7491614",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1008425800001",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lauren Elisabeth Royer, LPC-ASSOCIATE
• Morton Jerome Rubenstein, MD
• Morton Louis Rubin, M.D.
• Mack T Ruffin IV, MD
• Danielle Rummel, LSW
• Kierra Russler
• Heather Rose Russo-Sikes, DO
• Daniel J Russo, ED.D.
• Kristin Elizabeth Nelson Russo, DMD
• Rxtalents Group Inc.

• Ophthalmology Physician in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.

Verify at the official NPI Registry.