Individual provider Active NPI

Kathryne F Rupley, DPM

  • Podiatrist
  • Fresno, CA
National Provider Identifier
1932203536
Registry record updated May 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E4479 Issued in CA
Practice address
1642 E Herndon Ave Ste 106
Fresno, CA 93720-3377
Phone
(559) 552-0522
Fax
(559) 257-2886
NPI assigned
Sep 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E4479 CA Primary

Addresses

Primary practice location

1642 E Herndon Ave Ste 106
Fresno, CA 93720-3377

Mailing address

1642 E Herndon Ave Ste 106
Fresno, CA 93720-3377
Phone (559) 552-0522

Other identifiers 5

IdentifierTypeStateIssuer
000E44790OtherCABLUE SHIELD
E4479OtherCACALIFORNIA LICENSE
E44790OtherCABLUE CROSS
000E44790MedicaidCA
611685500OtherDEPARTMENT OF LABOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050412000602 CA Practitioner - Podiatry 4082651146 Reassigns benefits to 1 organization
Practice locations: Fresno, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1642 E Herndon Ave
Suite 106
Fresno, CA 93720-3377
Phone 55955205221001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue207
Removal of skin lesions15
Removal of nail tissue2005
Removal or shaving of skin growth990

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E4479CAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Toe-Tally Awesome Feet, Professional Corporation CurrentSince Jul 10, 2024 Accepting new patients

Locations

1642 E Herndon Ave
Ste 106
Fresno, CA 93720
Phone (559) 447-1432

Organizations & group practices 1

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 2

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715299200000",
    "number": "1932203536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1642 E HERNDON AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203377",
            "telephone_number": "559-552-0522",
            "fax_number": "559-257-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1642 E HERNDON AVE STE 106",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203377",
            "telephone_number": "559-552-0522",
            "fax_number": "559-257-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUPLEY",
        "first_name": "KATHRYNE",
        "middle_name": "F",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-12",
        "last_updated": "2024-05-10",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E4479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000E44790",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA LICENSE",
            "identifier": "E4479",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "E44790",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E44790",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "611685500",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.