Individual provider Active NPI

Michael Richard Rupp, MD

  • Allergy & Immunology Physician
  • Las Cruces, NM
National Provider Identifier
1568414985
Registry record updated Jan 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
MD2006-0458 Issued in NM
Practice address
3800 E Lohman Ave Ste a
Las Cruces, NM 88011-8287
Phone
(575) 522-6500
Fax
(575) 522-0591
NPI assigned
May 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X MD2006-0458 NM Primary
Allergy Physician 207KA0200X MD2006-0458 NM

Addresses

Primary practice location

3800 E Lohman Ave Ste a
Las Cruces, NM 88011-8287

Mailing address

3800 E Lohman Ave Ste a
Las Cruces, NM 88011-8287
Phone (575) 522-6500

Medicare participation

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

Enrollment IDStateProvider typePAC IDDetails
I20061104000019 NM Practitioner - Allergy/ImmunologyPractitioner - Internal Medicine 2062419021 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Internal Medicine
Education
University of Southern California Keck School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pace Management IncGroup PAC ID 8426959198, 3 clinicians

Practice addresses (Care Compare)

3800 E Lohman Ave
Suite a
Las Cruces, NM 88011-8287
Phone (575) 522-6500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.73 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pace Management, Inc. CurrentSince Sep 1, 2006 Accepting new patients
Maria Elena Falcon, M.D., P.a. Allergy PastSince Sep 1, 2006 Accepting new patients

Locations

3800 E Lohman Ave
Ste A
Las Cruces, NM 88011
Phone (505) 522-6500

Organizations & group practices 2

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 1

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": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548806400000",
    "number": "1568414985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 E LOHMAN AVE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118287",
            "telephone_number": "575-522-6500",
            "fax_number": "575-522-0591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 E LOHMAN AVE STE A",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880118287",
            "telephone_number": "575-522-6500",
            "fax_number": "575-522-0591"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "MICHAEL",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-16",
        "last_updated": "2019-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NM",
            "license": "MD2006-0458",
            "primary": true
        },
        {
            "code": "207KA0200X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology, Allergy",
            "state": "NM",
            "license": "MD2006-0458",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.