Dr James Paul Rupp, MD - Medicare Obstetrics/gynecology in Georgetown, DE

  1. Home
  2. Obstetrics & Gynecology
  3. DE
  4. Georgetown
Dr James Paul Rupp, MD is a medicare enrolled "Obstetrics & Gynecology" physician in Georgetown, Delaware. He went to Jefferson Medical College Of Thomas Jefferson University and graduated in 1980 and has 44 years of diverse experience with area of expertise as Obstetrics/gynecology. He is a member of the group practice La Red Health Center Inc and his current practice location is 21444 Carmean Way, Georgetown, Delaware. You can reach out to his office (for appointments etc.) via phone at (302) 855-2020.

Dr James Paul Rupp is licensed to practice in Delaware (license number C10002432) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1326076811.

Contact Information

Dr James Paul Rupp, MD
21444 Carmean Way,
Georgetown, DE 19947
(302) 855-2020
(302) 855-2025

Map and Direction




Physician's Profile

Full NameDr James Paul Rupp
GenderMale
SpecialityObstetrics/gynecology
Experience44 Years
Location21444 Carmean Way, Georgetown, Delaware
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr James Paul Rupp attended and graduated from Jefferson Medical College Of Thomas Jefferson University in 1980
  NPI Data:
  • NPI Number: 1326076811
  • Provider Enumeration Date: 06/30/2006
  • Last Update Date: 06/25/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 9133252612
  • Enrollment ID: I20110310000201

Medical Identifiers

Medical identifiers for Dr James Paul Rupp such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1326076811NPI-NPPES
2197629OtherDECIGNA
26408OtherDECOVENTRY
4273333OtherDEAETNA
412040910OtherDEDE BLUE CROSS BLUE SHIELD
315676OtherDEMAMSI PLANS
35303201OtherMDCAREFIRST MD
412040910OtherDETRICARE
000000208474OtherDEUNISON
412040910OtherDEUNITED HEALTHCARE
0000020301MedicaidDE
2146190000OtherDEAMERIHEALTH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207V00000XObstetrics & Gynecology C10002432 (Delaware)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Nanticoke Memorial HospitalSeaford, DEHospital
Beebe Medical CenterLewes, DEHospital
Bayhealth Hospital, Sussex CampusMilford, DEHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
La Red Health Center Inc478966881517

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr James Paul Rupp allows following entities to bill medicare on his behalf.
Entity NameLa Red Health Center Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1700832185
PECOS PAC ID: 4789668815
Enrollment ID: O20070306000183

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr James Paul Rupp is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr James Paul Rupp, MD
21444 Carmean Way,
Georgetown, DE 19947

Ph: (302) 855-2020		Dr James Paul Rupp, MD
21444 Carmean Way,
Georgetown, DE 19947

Ph: (302) 855-2020

Reviews and Comments


Obstetrics & Gynecology Doctors in Georgetown, DE

Dr. Michael Laurence Hoffman, DO
Obstetrics & Gynecology
Medicare: Medicare Enrolled
Practice Location: 21444 Carmean Way, Georgetown, DE 19947
Phone: 302-855-1233    Fax: 302-855-2135

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.