Alice M Rupp, DO

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

036083796 Issued in IL

Practice address

4050 Healthway Dr
Suite 140
Aurora, IL 60504-8183

Phone

(630) 318-3355

Fax

(630) 701-9277

NPI assigned

Jul 24, 2006

Last updated

Aug 10, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Osteopathy

State licenses

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.

• Premier Medical Associates, LLC

  • Internal Medicine Physician
  • Aurora, IL
  • NPI 1306105655
  Authorized official Same address or phone

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344556800000",
    "number": "1679595086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4050 HEALTHWAY DR",
            "address_2": "SUITE 140",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048183",
            "telephone_number": "630-318-3355",
            "fax_number": "630-701-9277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 HEALTHWAY DR",
            "address_2": "SUITE 140",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605048183",
            "telephone_number": "630-318-3355",
            "fax_number": "630-701-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "ALICE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-24",
        "last_updated": "2012-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IL",
            "license": "036083796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID#",
            "identifier": "271168698",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "110240875",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS GROUP NUMBER",
            "identifier": "0222075",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPG HFS PAYEE ID",
            "identifier": "3631498336019001",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036083796",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vanessa Ruiz
• Theresa Rumoro
• Erik Nathaniel Rumsa, HIS
• Colleen Runty, CCC SLPP/L
• Elizabeth Runyan
• Rush Copley Cardiovascular Consultants, LLC (Fox Valley Cardiovascular Consultants)
• Rush Copley Medical Group
• Rush-Copley Hospitalists, LLC
• Rush-Copley Medical Group
• Rush-Copley Medical Group

• Pulmonary Disease Physician in Aurora, IL
• Providers in Aurora, IL by specialty
• Pulmonary Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.