Individual provider Active NPI

Ruperto D Dumapit Jr., M.D.

  • General Practice Physician
  • Welch, WV
National Provider Identifier
1679655732
Registry record updated Nov 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
13858 Issued in WV
Practice address
922 Virginia Ave
Welch, WV 24801-2814
Phone
(304) 436-8066
Fax
(304) 436-2855
NPI assigned
Oct 19, 2006
Last updated
Nov 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 13858 WV Primary

Addresses

Primary practice location

922 Virginia Ave
Welch, WV 24801-2814

Mailing address

922 Virginia Ave
Welch, WV 24801-2814
Phone (304) 436-8066

Other identifiers 3

IdentifierTypeStateIssuer
0050762000MedicaidWV
CM9038OtherWVMEDICARE RAILROAD
001809810OtherWVBCBS MOUNTAIN STATE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000729 WV Practitioner - Family Practice 5698955441 Reassigns benefits to 1 organization
Practice locations: Welch, WV

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McDowell County Health Unit CurrentSince Jan 1, 2014 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288828800000",
    "number": "1679655732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "922 VIRGINIA AVE",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012814",
            "telephone_number": "304-436-8066",
            "fax_number": "304-436-2855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "922 VIRGINIA AVE",
            "city": "WELCH",
            "state": "WV",
            "postal_code": "248012814",
            "telephone_number": "304-436-8066",
            "fax_number": "304-436-2855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAPIT",
        "first_name": "RUPERTO",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2010-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "WV",
            "license": "13858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0050762000",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CM9038",
            "state": "WV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MOUNTAIN STATE",
            "identifier": "001809810",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Welch, WV

Sources for this page

Verify at the official NPI Registry.