Randall Allen Ruppel
MD | Pediatric Critical Care Medicine | Male
Randall Allen Ruppel, MD is a Roanoke, Virginia based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Randall Allen Ruppel is
1906 Belleview Ave Se, Roanoke, Virginia - 24014-1838. He can be contacted on phone at
540-981-7000.
Randall Allen Ruppel is a sole proprietor of his business.
NPI number (Unique professional ID) for Randall Allen Ruppel is
1598749384 which was assigned by NPPES on 05 Dec, 2005 and it was last updated on 28 Mar, 2016.
Randall Allen Ruppel license number is
0101251186 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in Virginia.
Randall Allen Ruppel is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Randall Allen Ruppel basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Randall Allen Ruppel |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Randall Allen Ruppel address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 1906 Belleview Ave Se
Roanoke, VA, 24014-1838
United States |
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| Phone Number : | 540-981-7000 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1598749384 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Dec, 2005 |
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| Last Updated On : | 28 Mar, 2016 |
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Medicare Participation:
Randall Allen Ruppel participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7416900717 |
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| Medicare Enrollment ID : | I20120227000850 |
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| Primary Specialty : | Hospitalist |
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| Medical School : | University Of Michigan Medical School |
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| Graduation Year : | 1992 |
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| Accepts Medicare? | Yes. Randall Allen Ruppel accepts medicare insurance. |
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Group Practice Association:
Randall Allen Ruppel is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Randall Allen Ruppel is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Star Behavioral Health, Pllc | 9931440310 | 3 | 3505 Brambleton Ave
Roanoke, VA - 240186521
Ph: 5405129754 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randall Allen Ruppel are as mentioned. Primary taxonomy code for Randall Allen Ruppel, MD is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 208000000X | Pediatrics | No | 0101251186 | VA |
| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 0101251186 | VA |
Legacy Identifiers:
Other legacy medical identifiers of Randall Allen Ruppel such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 200363710 | MEDICAID | IN | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1906 Belleview Ave Se
Roanoke, VA, 24014-1838
United States |
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Business Location:
Patients can refer following map for directions to
Randall Allen Ruppel practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.