| Dr Robert Edward Rupp, MD | |
|
165 Highway 50, Stateline, NV 89449-9816 | |
| (775) 589-8950 | |
| (775) 588-1299 |
| Full Name | Dr Robert Edward Rupp |
|---|---|
| Gender | Male |
| Speciality | Orthopedic Surgery |
| Experience | 36 Years |
| Location | 165 Highway 50, Stateline, Nevada |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558360628 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | A67307 (California) | Secondary |
| 207XX0005X | Orthopaedic Surgery - Sports Medicine | 8856 (Nevada) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Barton Memorial Hospital | South lake tahoe, CA | Hospital |
| Carson Valley Medical Center | Gardnerville, NV | Hospital |
| Incline Village Community Hospital | Incline village, NV | Hospital |
| Carson Tahoe Regional Medical Center | Carson city, NV | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Tahoe Orthopedics And Sports Medicine, Inc. | 9537203351 | 14 |
| Barton Medical Foundation | 5395127682 | 96 |
| Barton Medical Foundation | 5395127682 | 96 |
| Lake Tahoe Orthopaedic Institute A Watson-swanson Professional Corp | 3375448384 | 13 |
| Entity Name | Barton Healthcare System |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1235196015 PECOS PAC ID: 1850293960 Enrollment ID: O20040915000806 |
| Entity Name | Tahoe Orthopedics & Sports Medicine, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1902131287 PECOS PAC ID: 9537203351 Enrollment ID: O20100217000655 |
| Entity Name | Barton Medical Foundation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750950499 PECOS PAC ID: 5395127682 Enrollment ID: O20220803001208 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Robert Edward Rupp, MD 2170 South Ave, South Lake Tahoe, CA 96150-7026 Ph: (530) 543-5659 | Dr Robert Edward Rupp, MD 165 Highway 50, Stateline, NV 89449-9816 Ph: (775) 589-8950 |