Rupenkumar Pravin Amin, M.D.

Primary specialty

Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X

License

#254653 Issued in 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

Last updated

Oct 5, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in MA, AZ2 enrollments

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 2

Specialty

Critical Care (Intensivists)Also: Pulmonary Disease

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 LLCGroup PAC ID 7911242201, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
• Marshall Medical Center Hospital, Placerville, CA, CCN 050254

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/IJCCDA
• Direct secure messaging: ramin4083380@oc.providencedirect.org

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.

• Ccmma SC LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Sumter, SC
  • NPI 1245715796

  AZ, MA

  Medicare reassignment Care Compare group NPD
• Emerson Practice Associates, Inc.

  • Internal Medicine Physician
  • Concord, MA
  • NPI 1508020199
  Medicare reassignment NPD
• Mass Lung & Allergy, PC.

  • Pulmonary Disease Physician
  • Leominster, MA
  • NPI 1679734545

  Critical Care Medicine

  Medicare reassignment NPD
• Community Neuroscience Services, LLC

  • Neurology Physician
  • Westborough, MA
  • NPI 1578940219
  NPD (past)
• Indiana Hospitalists, PC

  • Hospitalist Physician
  • Richmond, IN
  • NPI 1164485710

  Internal Medicine

  NPD (past)
• Pulmonary Specialist Group of Nevada

  dba The Lung Center of Nevada

  • Pulmonary Disease Physician
  • Las Vegas, NV
  • NPI 1720108442

  Critical Care Medicine

  NPD (past)
• St. Francis Medical Group, LLC

  • Internal Medicine Physician
  • Greenwood, IN
  • NPI 1467693135

  Family Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Marshall Medical Center

  • General Acute Care Hospital
  • Placerville, CA
  • NPI 1972503142
  Care Compare affiliation
• Prime Healthcare Services - Shasta LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1205089026
  Care Compare affiliation

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633392000000",
    "number": "1568625820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 OLD ROAD TO 9 ACRE COR",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "017424159",
            "telephone_number": "978-341-8660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133 OLD ROAD TO NINE ACRE CORNER",
            "city": "CONCORD",
            "state": "MA",
            "postal_code": "01742",
            "telephone_number": "978-466-4396",
            "fax_number": "978-466-4029"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "759 Chestnut St # S4429",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "011991001",
            "country_code": "US",
            "telephone_number": "413-794-5439",
            "fax_number": "413-794-5389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AMIN",
        "first_name": "RUPENKUMAR",
        "middle_name": "PRAVIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-08",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "#254653",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MA",
            "license": "#254653",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MA",
            "license": "#254653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alpha Medical Associates PC (Acton Concord Medical Associates PC)
• Alpha Medical Associates PC
• Alpha Medical Associates, PC
• Kylie Altavesta, PA-C
• Ryan Amadon
• Inna Amirian, D.M.D.
• Thomas A Amoroso, MD
• Analog Medical PLLC (Analog Psychiatry)
• Analog Medical PLLC
• Anchor Health Inc

• Critical Care Medicine (Internal Medicine) Physician in Concord, MA
• Providers in Concord, MA by specialty
• Critical Care Medicine (Internal Medicine) Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.

Verify at the official NPI Registry.