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Individual provider Active NPI

Rupinder Mann, M D INC

  • Geriatric Medicine (Internal Medicine) Physician
  • Rancho Mirage, CA
National Provider Identifier
1982799813
Registry record updated May 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
A066357 Issued in CA
Practice address
72047 Dinah Shore Drive
Suite C4
Rancho Mirage, CA 92270-1790
Phone
(760) 770-7600
Fax
(760) 770-0500
NPI assigned
Oct 4, 2006
Last updated
May 4, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A066357 CA Primary

Addresses

Primary practice location

72047 Dinah Shore Drive
Suite C4
Rancho Mirage, CA 92270-1790

Mailing address

72047 Dinah Shore Dr
Suite C4
Rancho Mirage, CA 92270-1790
Phone (760) 770-7600

Other identifiers 1

IdentifierTypeStateIssuer
00A663570MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040624000760 CA Practitioner - Geriatric MedicinePractitioner - General Practice 1153307988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: General Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rupinder Mann M D IncGroup PAC ID 3971823808, 2 clinicians

Practice addresses (Care Compare)

72047 Pinah Shore Dr
Suite C4
Rancho Mirage, CA 92270-1790
Phone (760) 770-7600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A066357CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rupinder Mann M D Inc CurrentSince Jan 17, 2015 Accepting new patients
Eisenhower Medical Center Past Accepting new patients
Reliance Hospice, Inc. PastSince Jul 10, 2016 Accepting new patients
JFK Memorial Hospital, Inc. Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients

Locations

72047 Dinah Shore Dr
Ste C4
Rancho Mirage, CA 92270
Phone (760) 770-7600

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Reliance HospicePalm Desert, CA, CCN 921566 Hospice 5% Or Greater Direct Ownership Interest (24.5%)
Corporate Director		 Jul 10, 2016
Jul 10, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 5

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 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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430697600000",
    "number": "1982799813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72047 DINAH SHORE DR",
            "address_2": "SUITE C4",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701790",
            "telephone_number": "760-770-7600",
            "fax_number": "760-770-0500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72047 DINAH SHORE DRIVE",
            "address_2": "SUITE C4",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922701790",
            "telephone_number": "760-770-7600",
            "fax_number": "760-770-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "RUPINDER",
        "credential": "M D INC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A066357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A663570",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rancho Mirage, CA

Sources for this page

Verify at the official NPI Registry.