Active NPI
Rupa Koothirezhi, MD
- Sleep Medicine (Family Medicine) Physician
- Spartanburg, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Family Medicine) Physician
- License
- 94690
- Practice address
- 151 Harold Fleming CT
Spartanburg, SC 29303-4225 - Phone
- (864) 573-6320
- NPI assigned
- Mar 28, 2017
- Last updated
- Aug 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sleep Medicine (Family Medicine) Physician | 207QS1201X | 94690 | SC | Primary |
Addresses
Primary practice location
151 Harold Fleming CT
Spartanburg, SC 29303-4225
Mailing address
151 Harold Fleming CT
Spartanburg, SC 29303-4225
Phone (864) 573-6320
Other practice location 1
101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 530-5864
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 946908 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1529 N Limestone St
Gaffney, SC 29340-4737
Phone (864) 487-9931
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 323519 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lsu Health Sciences Center Shreveport Faculty Group Practice | Multi-Specialty | Current | Accepting new patients |
| Upstate Lung and Critical Care Specialists PC | Multi-Specialty | Current | Accepting new patients |
| Upstate Lung and Critical Care Specialists, PC | Current | Accepting new patients |
Locations
4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000
1501 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0434
1512 W Kirby Pl
Shreveport, LA 71103
Phone (318) 626-0177
1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287
1606 Kings Hwy
Shreveport, LA 71103
Phone (318) 675-6402
1529 N Limestone St
Gaffney, SC 29340
Phone (864) 487-9931
151 Harold Fleming Ct
Spartanburg, SC 29303
Phone 8645736320219
Interoperability endpoints
- https://api.platform.athenahealth.com/16459/brand/1/csg/1/fhir/r4
- rupa.koothirezhi.1@16459.direct.athenahealth.com
Organizations & group practices 3
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.
-
- Pulmonary Disease Physician
- Spartanburg, SC
- NPI 1013963982
Multi-Specialty
-
- Family Medicine Physician
- Shreveport, LA
- NPI 1013374222
Multi-Specialty
-
- Pulmonary Disease Physician
- Gaffney, SC
- NPI 1598792806
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CMC Wound Services
- General Acute Care Hospital
- Gaffney, SC
- NPI 1205307378
-
dba Spartanburg Medical Center- Psychiatric Unit
- Psychiatric Hospital Unit
- Spartanburg, SC
- NPI 1033681630
-
- General Acute Care Hospital
- Spartanburg, SC
- NPI 1609807122
-
dba Spartanburg Medical Center-Center for Rehabilitative Medicine
- Rehabilitation Hospital Unit
- Spartanburg, SC
- NPI 1942772546
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787097600000",
"number": "1699207944",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 HAROLD FLEMING CT",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034225",
"telephone_number": "864-573-6320"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 HAROLD FLEMING CT",
"city": "SPARTANBURG",
"state": "SC",
"postal_code": "293034225",
"telephone_number": "864-573-6320"
}
],
"practiceLocations": [
{
"address_1": "101 E Wood St",
"address_purpose": "LOCATION",
"city": "Spartanburg",
"state": "SC",
"postal_code": "293033040",
"country_code": "US",
"telephone_number": "864-530-5864",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KOOTHIREZHI",
"first_name": "RUPA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2026-08-19",
"certification_date": "2026-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "207QS1201X",
"taxonomy_group": "",
"desc": "Family Medicine, Sleep Medicine",
"state": "SC",
"license": "94690",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "946908",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Spartanburg, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2026; 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.