Dr Randall W Rupper, MD, MPH in Salt Lake City, UT

Dr Randall W Rupper, MD, MPH is a medicare enrolled "Internal Medicine - Geriatric Medicine" physician in Salt Lake City, Utah. His current practice location is Grecc (182) Bldg. 2, Vamc, 500 Foothill Drive, Salt Lake City, Utah. You can reach out to his office (for appointments etc.) via phone at (801) 582-1565.

Dr Randall W Rupper is licensed to practice in Utah (license number 5368958-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1457398703.

Contact Information

	Dr Randall W Rupper, MD, MPH
	Grecc (182) Bldg. 2, Vamc, 500 Foothill Drive, Salt Lake City, UT 84148-0001
	(801) 582-1565
	(801) 584-5640

Map and Direction

Physician's Profile

Full Name	Dr Randall W Rupper
Gender	Male
Speciality	Internal Medicine - Geriatric Medicine
Location	Grecc (182) Bldg. 2, Vamc, Salt Lake City, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1457398703
Provider Enumeration Date: 06/02/2006
Last Update Date: 11/17/2021

Medicare PECOS Information:

PECOS PAC ID: 6800700089
Enrollment ID: I20031113000342

Medical Identifiers

Medical identifiers for Dr Randall W Rupper such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1457398703	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207RG0300X	Internal Medicine - Geriatric Medicine	5368958-1205 (Utah)	Primary

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 Randall W Rupper allows following entities to bill medicare on his behalf.

Entity Name	University Of Utah Adult Services
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1114321981 PECOS PAC ID: 0941525273 Enrollment ID: O20150209001683

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 Randall W Rupper 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 Address	Practice Location Address
Dr Randall W Rupper, MD, MPH Grecc (182) Bldg. 2, Vamc, 500 Foothill Drive, Salt Lake City, UT 84148-0001 Ph: (801) 582-1565	Dr Randall W Rupper, MD, MPH Grecc (182) Bldg. 2, Vamc, 500 Foothill Drive, Salt Lake City, UT 84148-0001 Ph: (801) 582-1565

Reviews and Comments

Internal Medicine Doctors in Salt Lake City, UT

Dr. Mehmet Akkaya, M.D Geriatric Medicine Medicare: Medicare Enrolled Practice Location: University Of Utah Hospital Cardiology, 3o N,1900 E, Rm:4a100, Salt Lake City, UT 84132 Phone: 801-505-1689
Dr. Willard Dere, M.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 500 Foothill Blvd, Salt Lake City, UT 84148 Phone: 801-582-1565
Megan Meier, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-581-2121
Siddharth K. Iyengar, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606
Taryn A. Young, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 5121 S Cottonwood St, Salt Lake City, UT 84107 Phone: 801-507-4384 Fax: 801-507-4398
David C. Haak, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-585-3580
Therese J. Battiola, MD Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 4c116, Salt Lake City, UT 84132 Phone: 801-581-7606

Dr Randall W Rupper, MD, MPH - Medicare Internal Medicine in Salt Lake City, UT