Diane M Rup, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

103826 Issued in MO

Practice address

13065 Old Tesson Ferry Rd
Saint Louis, MO 63128-3441

Phone

(314) 270-3081

Fax

(314) 270-3084

NPI assigned

Feb 22, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: dianerup@slcdh.allscriptsdirect.net

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270080000000",
    "number": "1952436792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13065 OLD TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283441",
            "telephone_number": "314-270-3081",
            "fax_number": "341-270-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13065 OLD TESSON FERRY RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631283441",
            "telephone_number": "314-270-3081",
            "fax_number": "314-270-3084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUP",
        "first_name": "DIANE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2010-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "103826",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208019612",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tamara Joan Runge
• Panvathu Rungsiyaphornratana, MD
• Peyton Runiewicz
• Brent E Ruoff, MD
• Melanie D Ruoff, O.D.
• Deborah Dorothy Rupert, MD, PHD
• Samantha Kay Rupp, OTR/L
• Phillip D. Ruppert, PH.D.
• Sydney Rury, RDN, LDN
• Angela Rusan, EMT, SOCIOLOGIST

• Pediatrics Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.