NPIMap

Individual provider Active NPI

Robert E Rapp Jr., MD

  • Internal Medicine Physician
  • Havre de Grace, MD
National Provider Identifier
1720081003
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0054756 Issued in MD
Practice address
2027 Pulaski Hwy
Suite 203
Havre de Grace, MD 21078-2143
Phone
(443) 843-6262
Fax
(443) 843-6264
NPI assigned
May 31, 2005
Last updated
Dec 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0054756 MD Primary

Addresses

Primary practice location

2027 Pulaski Hwy
Suite 203
Havre de Grace, MD 21078-2143

Mailing address

2027 Pulaski Hwy
Suite 203
Havre de Grace, MD 21078-2143
Phone (443) 843-6262

Other identifiers 4

IdentifierTypeStateIssuer
6216720OtherMDCIGNA
820706-01OtherBCBS POS
875475OtherMDIPA/OPTIMUM CHOICE
282100100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040608000210 MD Practitioner - Internal Medicine 1052394590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Pennsylvania, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Agape Physical Therapy and Sports Rehabilitation LPGroup PAC ID 3870741390, 684 clinicians
Upper Chesapeake Primary Care,LLCGroup PAC ID 3476637737, 17 clinicians

Practice addresses (Care Compare)

12 Newport Dr
Forest Hill, MD 21050-1758

2027 Pulaski Hwy
Suite 203
Havre de Grace, MD 21078-2147
Phone (443) 843-6262

650 McHenry Rd
Suite 3200
Aberdeen, MD 21001-2681
Phone (443) 843-6262

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0054756MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upper Chesapeake Primary Care,LLC Internal Medicine CurrentSince Dec 17, 2007 Accepting new patients
Upper Chesapeake Primary Care,LLC Internal Medicine PastSince May 12, 2024 Accepting new patients
Upmc Western Maryland Health Services, LLC Internal Medicine Past Accepting new patients
Medical & Surgical Clinic of Irving, P.a. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

650 McHenry Rd
Ste 3200
Aberdeen, MD 21001
Phone (443) 843-6262

2027 Pulaski Hwy
Ste 203
Hvre de Grace, MD 21078
Phone (410) 658-4099

Interoperability endpoints

  • Direct secure messaging: rrapp474402@direct.umm.edu

Organizations & group practices 6

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 10

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": "1117497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1720081003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2027 PULASKI HWY",
            "address_2": "SUITE 203",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782143",
            "telephone_number": "443-843-6262",
            "fax_number": "443-843-6264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 PULASKI HWY",
            "address_2": "SUITE 203",
            "city": "HAVRE DE GRACE",
            "state": "MD",
            "postal_code": "210782143",
            "telephone_number": "443-843-6262",
            "fax_number": "443-843-6264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAPP",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-31",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0054756",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6216720",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS POS",
            "identifier": "820706-01",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA/OPTIMUM CHOICE",
            "identifier": "875475",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282100100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Havre de Grace, MD

Sources for this page

Verify at the official NPI Registry.