Individual provider Active NPI

Rupinder Penna, DO

  • Diagnostic Radiology Physician
  • Spokane, WA
National Provider Identifier
1972982874
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
OP60854388 Issued in WA
Practice address
801 S Stevens St
Spokane, WA 99204-2654
Phone
(509) 363-7788
NPI assigned
May 26, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 20A18258 CA
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X OP60854388 WA Primary

Addresses

Primary practice location

801 S Stevens St
Spokane, WA 99204-2654

Mailing address

801 S Stevens St
Spokane, WA 99204-2654
Phone (509) 363-7788

Other identifiers 1

IdentifierTypeStateIssuer
1972982874OtherWANPI

Other names 1

  • Rupinder Kaur Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WA, MT, OR4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200626001139 CA Practitioner - Diagnostic Radiology 9234446394 Reassigns benefits to 1 organization
I20210525003421 WA Practitioner - Diagnostic Radiology 9234446394 Reassigns benefits to 11 organizations
I20210607002888 MT Practitioner - Diagnostic Radiology 9234446394 Reassigns benefits to 3 organizations
I20260513002771 OR Practitioner - Diagnostic Radiology 9234446394 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integra Imaging PSGroup PAC ID 1355593062, 126 clinicians
The Polyclinic PLLCGroup PAC ID 2163328196, 364 clinicians
Inland Imaging Associates PSGroup PAC ID 7810327210, 124 clinicians
Inland Imaging LLCGroup PAC ID 6608763016, 128 clinicians
Oregon Healthcare Resources LLCGroup PAC ID 4486835477, 160 clinicians

Practice addresses (Care Compare)

101 W 8TH Ave
Spokane, WA 99204-2307
Phone (509) 363-7745

1145 Broadway
Seattle, WA 98122-4201
Phone (206) 329-1760

1200 12TH Ave S
Seattle, WA 98144-2712
Phone (509) 363-7788

2419 Mullan Rd
Suite D
Missoula, MT 59808-1856
Phone (509) 363-7788

525 S Cowley St
Spokane, WA 99202-1381
Phone (509) 747-4455

600 Country Club Rd
Eugene, OR 97401-2240
Phone (541) 345-0600

605 S Coolidge St
Suite 101
Moses Lake, WA 98837-1893
Phone (509) 765-0674

801 S Stevens St
Spokane, WA 99204-2654

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A18258CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Moses Lake Community Health Center Single Specialty CurrentSince May 19, 2021 Accepting new patients
The Polyclinic PLLC Single Specialty Current Accepting new patients
Okanogan Douglas County Hospital Dist 1 Current Accepting new patients
Okanogan Douglas County Hospital Dist1 Single Specialty CurrentSince Apr 25, 2022 Accepting new patients
University of California SFGH Medical Group Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Inland Imaging LLC Single Specialty CurrentSince May 19, 2021 Accepting new patients
Integra Imaging, PS Single Specialty CurrentSince May 19, 2021 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Single Specialty CurrentSince Apr 25, 2022 Accepting new patients
Columbia County Hospital District CurrentSince Jun 30, 2021 Accepting new patients
University of California SFGH Medical Group Single Specialty CurrentSince Jul 1, 2020 Accepting new patients
Okanogan Douglas County Hospital Dist 1 Single Specialty Current Accepting new patients
The Polyclinic PLLC Single Specialty CurrentSince May 19, 2021 Accepting new patients
Columbia County Hospital District Single Specialty CurrentSince Jan 1, 2026 Accepting new patients
Grant County Public Hospital District 2 Single Specialty CurrentSince Jul 23, 2021 Accepting new patients
Grant County Public Hospital District 3 Single Specialty CurrentSince Dec 16, 2025 Accepting new patients
Integra Imaging, PS Single Specialty CurrentSince May 19, 2021 Accepting new patients
Moses Lake Community Health Center CurrentSince May 19, 2021 Accepting new patients
Inland Imaging Associates PS Single Specialty CurrentSince May 19, 2021 Accepting new patients
Columbia County Hospital District CurrentSince Jun 30, 2021 Accepting new patients
The Polyclinic CurrentSince May 19, 2021 Accepting new patients

Locations

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

2740 South Ave W
Missoula, MT 59804
Phone (406) 728-6010

2419 Mullan Rd
Ste D
Missoula, MT 59808
Phone (406) 540-1512

500 E Webster Ave
Chewelah, WA 99109
Phone (509) 482-0111

1012 S 3rd St
Dayton, WA 99328
Phone (509) 382-2531

200 Nat Washington Way
Ephrata, WA 98823
Phone (509) 754-3330

605 S Coolidge St
#101
Moses Lake, WA 98837
Phone (509) 765-0674

908 10th Ave SW
Quincy, WA 98848
Phone (509) 787-3503

747 Broadway
Seattle, WA 98122
Phone (360) 658-2488

1200 12th Ave S
Seattle, WA 98144
Phone (206) 326-2400

1145 Broadway
Seattle, WA 98122

525 S Cowley St
Spokane, WA 99202
Phone (509) 625-3397

101 W 8th Ave
Spokane, WA 99204
Phone (509) 474-3181

801 S Stevens St
Spokane, WA 99204
Phone (206) 621-4316

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 8

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": "1432598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1972982874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S STEVENS ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042654",
            "telephone_number": "509-363-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S STEVENS ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042654",
            "telephone_number": "509-363-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENNA",
        "first_name": "RUPINDER",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-26",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A18258",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "OP60854388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1972982874",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RUPINDER",
            "last_name": "KAUR",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.