Individual provider Active NPI

Bradley W Rupp, MD

  • Urology Physician
  • Topeka, KS
National Provider Identifier
1710953518
Registry record updated Apr 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
0429141 Issued in KS
Practice address
631 SW Horne St
Ste 150
Topeka, KS 66606-1694
Phone
(785) 354-7877
Fax
(785) 354-7878
NPI assigned
Feb 23, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 0429141 KS Primary

Addresses

Primary practice location

631 SW Horne St
Ste 150
Topeka, KS 66606-1694

Mailing address

631 SW Horne St
Ste 150
Topeka, KS 66606-1694
Phone (785) 354-7877

Other identifiers 1

IdentifierTypeStateIssuer
100391050CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20090114000590 KS Practitioner - Urology 4688737885 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Missouri, Columbia School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rupp Urology LLCGroup PAC ID 5496818692, 2 clinicians

Practice addresses (Care Compare)

631 SW Horne St
Suite 150
Topeka, KS 66606-1663
Phone (785) 354-7877

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.98 of 100Reported as group
Quality
74.5
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.48 of 100Reported as individual
Quality
90.95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Prostate resection36

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rupp Urology LLC Urology CurrentSince Nov 17, 2008 Accepting new patients
Kansas Spine Anesthesia Corporation PA Past Accepting new patients

Locations

1301 W 12th Ave
Ste 201
Emporia, KS 66801
Phone (620) 341-9000

3550 S 4th St
Ste 282
Leavenworth, KS 66048
Phone (913) 318-7821

631 SW Horne St
Ste 150
Topeka, KS 66606
Phone (785) 233-0500

Interoperability endpoints

  • Direct secure messaging: bradleyrupp@ruppurology.medalliesdirect.net
  • Direct secure messaging: brupp201238@ahs.direct-ci.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366675200000",
    "number": "1710953518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 SW HORNE ST",
            "address_2": "STE 150",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061694",
            "telephone_number": "785-354-7877",
            "fax_number": "785-354-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 SW HORNE ST",
            "address_2": "STE 150",
            "city": "TOPEKA",
            "state": "KS",
            "postal_code": "666061694",
            "telephone_number": "785-354-7877",
            "fax_number": "785-354-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPP",
        "first_name": "BRADLEY",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-23",
        "last_updated": "2013-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KS",
            "license": "0429141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100391050C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Topeka, KS

Sources for this page

Verify at the official NPI Registry.