Active NPI
Robert Edward Rupp, MD
- Sports Medicine (Orthopaedic Surgery) Physician
- Stateline, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Orthopaedic Surgery) Physician
- License
- 8856
- Practice address
- 165 Highway 50
Stateline, NV 89449-9816 - Phone
- (775) 589-8950
- Fax
- (775) 588-1299
- NPI assigned
- Jul 20, 2005
- Last updated
- Jul 16, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | A67307 | CA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | 8856 | NV | Primary |
Addresses
Primary practice location
165 Highway 50
Stateline, NV 89449-9816
Mailing address
2170 South Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5659
Other practice location 1
935 Mica Dr Ste 13
Carson City, NV 89705-7181
Phone (775) 783-3065
Other practice location 2
2170B South Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 543-5554
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Texas Medical Branch at Galveston, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
165 Hwy 50
Stateline, NV 89449-9816
Phone (775) 589-8950
2170 B S Ave
South Lake Tahoe, CA 96150-7026
Phone (530) 539-6620
Hospital & facility affiliations
- Barton Memorial Hospital
- Carson Valley Health
- Incline Village Community Hospital
- Carson Tahoe Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.42 of 100
- Quality
- 93.48
- Promoting interoperability
- 100
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.71 of 100
- Quality
- 89.85
- Promoting interoperability
- 94.05
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 35 |
| Knee replacement | 12 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 19 |
| Upper limb (arm) arthroscopy (minimally invasive joint repair) | 51 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A67307 | CA | MD | Sports Medicine (Orthopaedic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barton Healthcare System | Current | Accepting new patients | |
| Barton Healthcare System | Current | Accepting new patients | |
| Lake Tahoe Orthopaedic Institute, a Watson-Swanson Professional Corp | Sports Medicine | Current | Accepting new patients |
| Lake Tahoe Orthopaedic Institute a Watson-Swanson Professional Corp | Current | Accepting new patients | |
| Barton Medical Foundation | Current | Accepting new patients | |
| Tahoe Orthopedics & Sports Medicine, Inc. | Sports Medicine | Current | Accepting new patients |
| Barton Healthcare System | Past | Accepting new patients | |
| Washoe Barton Medical Clinic a Nevada Nonprofit Corporation | Past | Accepting new patients | |
| South Lyon Health Center, Inc. | Past | Accepting new patients | |
| Sparks Family Hospital Inc | Past | Accepting new patients | |
| Prime Healthcare Services - Reno LLC | Past | Accepting new patients | |
| Mt Grant General Hospital | Past | Accepting new patients | |
| Tahoe Forest Hospital District | Past | Accepting new patients |
Locations
1111 Emerald Bay Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5659
1139 3rd St
South Lake Tahoe, CA 96150
Phone (530) 541-3100
2074 Lake Tahoe Blvd
Ste 4
South Lake Tahoe, CA 96150
Phone (530) 543-5554
2170 South Ave
South Lake Tahoe, CA 96150
Phone (530) 541-3420
2170 South Ave
#B
South Lake Tahoe, CA 96150
Phone (530) 539-6620
3860 Saddle Rd
South Lake Tahoe, CA 96150
Phone (530) 543-5575
935 Mica Dr
Ste 13
Carson City, NV 89705
Phone (775) 783-3065
925 Tahoe Blvd
Ste 105
Incline Village, NV 89451
Phone (530) 543-5799
Interoperability endpoints
- rrupp65628@direct.renown.org
Organizations & group practices 14
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 Tahoe Orthopedics and Sports Medicine
- Orthopaedic Surgery Physician
- Zephyr Cove, NV
- NPI 1609937911
Sports Medicine
-
- Internal Medicine Physician
- South Lake Tahoe, CA
- NPI 1235196015
-
- Orthopaedic Surgery Physician
- South Lake Tahoe, CA
- NPI 1902131287
Sports Medicine
-
- Orthopaedic Surgery Physician
- South Lake Tahoe, CA
- NPI 1831483767
-
- Durable Medical Equipment & Medical Supplies
- Carson City, NV
- NPI 1619126240
-
- Emergency Medicine Physician
- South Lake Tahoe, CA
- NPI 1306931357
-
- Critical Access Hospital
- Hawthorne, NV
- NPI 1801844527
-
dba Saint Mary's Regional Medical Center
- General Acute Care Hospital
- Reno, NV
- NPI 1801152566
-
dba South Lyon Medical Center
- Physical Therapist
- Yerington, NV
- NPI 1407815194
-
dba Northern Nevada Medical Center
- General Acute Care Hospital
- Sparks, NV
- NPI 1548250582
-
dba Incline Village Community Hospital
- Critical Access Hospital
- Incline Village, NV
- NPI 1801957667
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Carson City, NV
- NPI 1255360160
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Carson City, NV
- NPI 1568281988
Hospital
-
dba Incline Village Community Hospital
- Critical Access Hospital
- Incline Village, NV
- NPI 1801957667
-
dba CVMC Outpatient Behavioral Health Clinic
- Community/Behavioral Health Agency
- Gardnerville, NV
- NPI 1104482918
Hospital
-
dba Carson Valley Health
- Critical Access Hospital
- Gardnerville, NV
- NPI 1396799102
-
dba Barton Memorial Hospital
- General Acute Care Hospital
- South Lake Tahoe, CA
- NPI 1003867565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1752624000000",
"number": "1558360628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2170 SOUTH AVE",
"city": "SOUTH LAKE TAHOE",
"state": "CA",
"postal_code": "961507026",
"telephone_number": "530-543-5659",
"fax_number": "530-541-8723"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "165 HIGHWAY 50",
"city": "STATELINE",
"state": "NV",
"postal_code": "894499816",
"telephone_number": "775-589-8950",
"fax_number": "775-588-1299"
}
],
"practiceLocations": [
{
"address_1": "935 Mica Dr Ste 13",
"address_purpose": "LOCATION",
"city": "Carson City",
"state": "NV",
"postal_code": "897057181",
"country_code": "US",
"telephone_number": "775-783-3065",
"fax_number": "775-267-1829",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2170B South Ave",
"address_purpose": "LOCATION",
"city": "South Lake Tahoe",
"state": "CA",
"postal_code": "961507026",
"country_code": "US",
"telephone_number": "530-543-5554",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUPP",
"first_name": "ROBERT",
"middle_name": "EDWARD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2025-07-16",
"certification_date": "2025-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "CA",
"license": "A67307",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "NV",
"license": "8856",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stateline, NV
- Marni Perschnick
- Premise Health of Nevada Medical Hinitt P C (Caesars Lake Tahoe Health & Wellness Center)
- Premise Health of Nevada Medical Hinitt P C (Caesar's Lake Tahoe Health & Wellness Center)
- Tracy Regina Protell, M.D.
- Clinton David Purvance, MD
- Sonia N Rupp, MD
- Martin Ernst Salm, M.D.
- State of Nevada (Lake Tahoe Mental Health Center)
- Steven L Kline OD a Professional Corporation (Alpine Eyecare Optometry)
- Natalie Stevenson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2025; 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.