Active NPI
Rupa Rajesh Patel, MD
- Infectious Disease Physician
- Saint Louis, MO
National Provider Identifier
1740347673
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- 2013034099
- Practice address
- 620 S Taylor Ave
Div Im Infectious Disease, Ste 100
Saint Louis, MO 63110-1035 - Phone
- (314) 362-9098
- Fax
- (314) 362-9851
- NPI assigned
- Jan 2, 2007
- 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 |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 2013034099 | MO | Primary |
Addresses
Primary practice location
620 S Taylor Ave
Div Im Infectious Disease, Ste 100
Saint Louis, MO 63110-1035
Mailing address
660 S Euclid Ave
CB 8051
Saint Louis, MO 63110-1010
Phone (314) 362-9098
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200008536 | Medicaid | MO |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whitman-Walker Clinic Inc. | Current | Accepting new patients | |
| Whitman-Walker Clinic, Inc | Current | Accepting new patients |
Locations
1701 14th St NW
Washington, DC 20009
Phone (202) 745-7000
1377 R St NW
Fl 2
Washington, DC 20009
Phone (202) 745-7000
1734 14th St NW
Washington, DC 20009
Phone (202) 939-7801
Interoperability endpoints
- rpatel155783@direct.carenet.org
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.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1184616617
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1003316316
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1740347673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 S EUCLID AVE",
"address_2": "CB 8051",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101010",
"telephone_number": "314-362-9098",
"fax_number": "314-362-9851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 S TAYLOR AVE",
"address_2": "DIV IM INFECTIOUS DISEASE, STE 100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631101035",
"telephone_number": "314-362-9098",
"fax_number": "314-362-9851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATEL",
"first_name": "RUPA",
"middle_name": "RAJESH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-02",
"last_updated": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MO",
"license": "2013034099",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200008536",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "620 S Taylor Ave",
"address_2": "Div IM Infectious Disease, Ste 100",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631101035",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.