Rupenkumar Pravin Amin, M.D.
Individual provider Active NPI Critical Care Medicine (Internal Medicine) Physician · Concord, MA
NPI 1568625820 · NPPES record last updated Oct 5, 2021
Key facts
- NPI
- 1568625820
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician 207RC0200X
- License
- #254653 (MA)
- Practice address
- 133 Old Road to Nine Acre Corner
Concord, MA 01742 - Phone
- (978) 466-4396
- Fax
- (978) 466-4029
- NPI assigned
- Jul 8, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Critical Care (Intensivists)
- Education
- Wake Forest University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Ccmma SC LLC
Practice addresses (Care Compare)
27 Henderson St
Arlington, MA 02474-5507
Phone (845) 702-2711
9717 E Sector Dr
Mesa, AZ 85212-1119
Phone (845) 702-2711
Hospital & facility affiliations
- Shasta Regional Medical Center
- Marshall Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in MA, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140401000837 | MA | Practitioner - Critical Care (Intensivists) |
7810058237 | Reassigns benefits to 3 organizations |
| I20250930003819 | AZ | Practitioner - Critical Care (Intensivists) |
7810058237 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| #254653 | MA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emerson Practice Associates, Inc. | Internal Medicine | Current |
Accepting new patients |
| Mass Lung & Allergy, PC. | Critical Care Medicine | Current |
Accepting new patients |
| Ccmma SC LLC | Critical Care Medicine | Current |
Accepting new patients |
| Indiana Hospitalists, PC | Internal Medicine | Past | Accepting new patients |
| St. Francis Medical Group, LLC | Family Medicine | Past | Accepting new patients |
| Pulmonary Specialist Group of Nevada | Critical Care Medicine | Past | Accepting new patients |
| Community Neuroscience Services, LLC | Past |
Accepting new patients |
Locations
1100 Butte St
Redding, CA 96001
Phone (530) 227-6361
133 Ornac
Concord, MA 01742
Phone (978) 287-3000
100 Hospital Rd
Ste 2A
Leominster, MA 01453
Phone (978) 466-2692
60 Hospital Rd
Leominster, MA 01453
Phone (978) 466-2000
48 Nelson St
Leominster, MA 01453
Phone (978) 466-4396
159 Union St
Ste 102
Marlborough, MA 01752
Phone (508) 481-0610
120 N Delaware St
Sandusky, MI 48471
Phone (810) 648-3770
350 Boulevard
Passaic, NJ 07055
Phone (973) 365-4300
425 W 5th St
East Liverpool, OH 43920
Phone (330) 385-7200
6565 Fannin St
Va Hospital, TX 77030
Phone (713) 394-6000
Interoperability endpoints
- ramin4083380@oc.providencedirect.org
- https://fhir4.healow.com/fhir/r4/IJCCDA
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | #254653 | MA | |
| Pulmonary Disease Physician | 207RP1001X | #254653 | MA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | #254653 | MA | Yes |
Addresses
Primary practice location
133 Old Road to Nine Acre Corner
Concord, MA 01742
Mailing address
133 Old Road to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 341-8660
Other practice location 1
759 Chestnut St # S4429
Springfield, MA 01199-1001
Phone (413) 794-5439
Other providers in Concord, MA
- Alpha Medical Associates PC
- Alpha Medical Associates PC
- Alpha Medical Associates, PC
- Kylie Altavesta
- Ryan Amadon
- Inna Amirian
- Thomas A Amoroso
- Analog Medical PLLC
- Analog Medical PLLC
- Anchor Health Inc
All providers in Concord, MA · Critical Care Medicine (Internal Medicine) Physician in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.