Individual provider Active NPI

Rupa Koothirezhi, MD

  • Sleep Medicine (Family Medicine) Physician
  • Spartanburg, SC
National Provider Identifier
1699207944
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sleep Medicine (Family Medicine) PhysicianTaxonomy code 207QS1201X
License
94690 Issued in SC
Practice address
151 Harold Fleming CT
Spartanburg, SC 29303-4225
Phone
(864) 573-6320
NPI assigned
Mar 28, 2017
Last updated
Aug 19, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
946908MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211119002483 LA Practitioner - Sleep MedicinePractitioner - Family PracticePractitioner - Neurology 9335412287 Reassigns benefits to 1 organization
I20250815002458 SC Practitioner - Sleep Medicine 9335412287 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
323519LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lsu Health Sciences Center Shreveport Faculty Group Practice Multi-Specialty CurrentSince Nov 1, 2021 Accepting new patients
Upstate Lung and Critical Care Specialists PC Multi-Specialty CurrentSince Aug 1, 2025 Accepting new patients
Upstate Lung and Critical Care Specialists, PC CurrentSince Aug 1, 2025 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

  • FHIR API: https://api.platform.athenahealth.com/16459/brand/1/csg/1/fhir/r4
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.