NPIMap

Individual provider Active NPI

Rupal H Thakor, MD

  • Family Medicine Physician
  • Providence, RI
National Provider Identifier
1639303258
Registry record updated Oct 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD15534 Issued in RI
Practice address
235 Plain St Ste 304
Providence, RI 02905-3241
Phone
(401) 272-0127
Fax
(401) 421-0159
NPI assigned
May 11, 2009
Last updated
Oct 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD446548 PA
Family Medicine Physician 207Q00000X MD15534 RI Primary

Addresses

Primary practice location

235 Plain St Ste 304
Providence, RI 02905-3241

Mailing address

235 Plain St Ste 304
Providence, RI 02905-3241
Phone (401) 272-0127

Other practice location 1

86 McClellandtown Rd
Uniontown, PA 15401-5527
Phone (724) 632-6801

Other identifiers 1

IdentifierTypeStateIssuer
014582OtherPAHIGHMARK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in RI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20161208001817 RI Practitioner - Family Practice 4082865506 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

235 Plain St
Providence, RI 02905-3241
Phone (401) 272-0127

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD15534RIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Miriam Hospital CurrentSince Dec 13, 2016 Accepting new patients
Affinity Physicians LLC. Family Medicine Current Accepting new patients
The Miriam Hospital CurrentSince Dec 13, 2016 Accepting new patients
Plain Street Primarycare LLC Family Medicine CurrentSince Feb 18, 2024 Accepting new patients

Locations

146 W River St
Ste 11C
Providence, RI 02904
Phone (401) 606-3000

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

235 Plain St
Ste 304
Providence, RI 02905
Phone (401) 272-0127

Interoperability endpoints

  • Direct secure messaging: rthakor@direct.carene.org

Organizations & group practices 4

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.

Hospital & facility affiliations 10

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": "1242000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729814400000",
    "number": "1639303258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 PLAIN ST STE 304",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053241",
            "telephone_number": "401-272-0127",
            "fax_number": "401-421-0159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 PLAIN ST STE 304",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053241",
            "telephone_number": "401-272-0127",
            "fax_number": "401-421-0159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "86 McClellandtown Rd",
            "address_purpose": "LOCATION",
            "city": "Uniontown",
            "state": "PA",
            "postal_code": "154015527",
            "country_code": "US",
            "telephone_number": "724-632-6801",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "THAKOR",
        "first_name": "RUPAL",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-05-11",
        "last_updated": "2024-10-25",
        "certification_date": "2024-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD446548",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD15534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "014582",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.