NPIMap

Individual provider Active NPI

Rupali J Prabhukhot

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1669630265
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2011-01055 Issued in NC
Practice address
12221 Merit Dr.
Ste 1500
Dallas, TX 75251-2202
Phone
(214) 217-1991
Fax
(214) 217-1912
NPI assigned
May 30, 2008
Last updated
Jul 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 2011-01055 NC Primary

Addresses

Primary practice location

12221 Merit Dr.
Ste 1500
Dallas, TX 75251-2202

Mailing address

12221 Merit Dr.
Ste 1500
Dallas, TX 75251-2202
Phone (214) 217-1991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150728003376 TX Practitioner - Internal Medicine 5597931873 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Questcare Hospitalists PLLCGroup PAC ID 5799785119, 266 clinicians

Practice addresses (Care Compare)

1950 Record Crossing Rd
Dallas, TX 75235-6223
Phone (954) 939-5000

2301 Marsh LN
Plano, TX 75093-8497
Phone (954) 939-5000

3535 S I 35
Denton, TX 76210-6850
Phone (954) 939-5000

7218 Crawford Rd
Argyle, TX 76226-2579
Phone (954) 939-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q2939TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Hospitalists PLLC Internal Medicine CurrentSince Jan 1, 2018 Accepting new patients
Lenoir HM Services LLC Past Accepting new patients
Columbia Medical Center of Denton Subsidiary LP Past Accepting new patients
Columbus Regional Health Network Internal Medicine Past Accepting new patients

Locations

2601 W Randol Mill Rd
Arlington, TX 76012
Phone (817) 274-5571

12221 Merit Dr
Ste 1500
Dallas, TX 75251
Phone (214) 217-1900

1950 Record Crossing Rd
Dallas, TX 75235
Phone (214) 638-1500

2301 Marsh Ln
Plano, TX 75093
Phone (972) 428-1600

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1212105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1669630265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR.",
            "address_2": "STE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512202",
            "telephone_number": "214-217-1991",
            "fax_number": "214-217-1912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12221 MERIT DR.",
            "address_2": "STE 1500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512202",
            "telephone_number": "214-217-1991",
            "fax_number": "214-217-1912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRABHUKHOT",
        "first_name": "RUPALI",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-30",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2011-01055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.