Active NPI
Alan Rupp, DO
- Emergency Medicine Physician
- Clinton Township, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 5151014527
- Practice address
- 15855 19 Mile Rd
Clinton Township, MI 48038-3504 - Phone
- (230) 058-6623
- NPI assigned
- Apr 8, 2020
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | MI | ||
| Emergency Medicine Physician | 207P00000X | 5151014527 | MI | Primary |
Addresses
Primary practice location
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Mailing address
15855 19 Mile Rd
Clinton Township, MI 48038-3504
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | arupp604029@direct.hfhs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Arizona College of Osteopathic Medicine Mid Western University, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
17772 Beach Blvd
Huntington Beach, CA 92647-6819
Phone (714) 843-5011
2776 Pacific Ave
Long Beach, CA 90806-2613
Phone (562) 997-2290
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.76 of 100
- Quality
- 83.25
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.4 of 100
- Quality
- 78.12
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21023 | CA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mission Viejo Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Mission Viejo Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Beach Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| Orange County Emergency Medical Associates, Inc. | Emergency Medicine | Current | Accepting new patients |
| Pacific Coast Emergency Medical Associates, Inc | Emergency Medicine | Current | Accepting new patients |
Locations
17772 Beach Blvd
Huntington Beach, CA 92647
Phone (714) 842-1473
7901 Walker St
La Palma, CA 90623
Phone (562) 424-2900
31872 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-1311
2776 Pacific Ave
Long Beach, CA 90806
Phone (562) 595-1911
27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744
4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 577-5505
Interoperability endpoints
- arupp604029@direct.hfhs.org
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.
-
- Emergency Medicine Physician
- Huntington Beach, CA
- NPI 1013074996
-
- Emergency Medicine Physician
- Long Beach, CA
- NPI 1316179492
-
- Emergency Medicine Physician
- Mission Viejo, CA
- NPI 1073542916
-
- Emergency Medicine Physician
- Laguna Beach, CA
- NPI 1134355597
-
- Emergency Medicine Physician
- La Palma, CA
- NPI 1508114711
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Long Beach, CA
- NPI 1215373626
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1912108002
-
- General Acute Care Hospital
- Mission Viejo, CA
- NPI 1992752315
-
- General Acute Care Hospital
- Huntington Beach, CA
- NPI 1083622120
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1558990705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480383504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15855 19 MILE RD",
"city": "CLINTON TOWNSHIP",
"state": "MI",
"postal_code": "480383504",
"telephone_number": "230-058-6623"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RUPP",
"first_name": "ALAN",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-04-08",
"last_updated": "2021-04-29",
"certification_date": "2021-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MI",
"license": "5151014527",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "arupp604029@direct.hfhs.org",
"affiliation": "N",
"address_1": "15855 19 Mile Rd",
"city": "Clinton Township",
"state": "MI",
"country_code": "US",
"postal_code": "480383504",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton Township, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.