DR. RUPA THACKER M.D
NPI 1013226802
Pediatrics in Detroit, MI

Q: What is Rupa Thacker's NPI number?

The NPI number for Rupa Thacker is 1013226802. It was assigned to this individual provider in the NPPES registry on September 28, 2010.

Q: What is Rupa Thacker's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Rupa Thacker was last updated on July 16, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 28, 2010PECOS Enrolled

3901 BEAUBIEN ST, DETROIT, MI 48201(313) 745-5533 Get Directions Write a Review

NPPES record last updated: July 16, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Rupa Thacker M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. RUPA THACKER M.D (NPI 1013226802) is an individual pediatrics provider in Detroit, Michigan, licensed in Michigan (4301096912) and active in the NPI registry since September 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013226802

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. RUPA THACKERCredential: M.D

Location Address3901 BEAUBIEN STDetroit, MI 48201-2119

Mailing Address4500 Cass Avenue, Apartment # 1121Detroit, MI 48201 · (909) 569-4224

Phone(313) 745-5533

Sole ProprietorYes

Enumeration DateSeptember 28, 2010

Last NPPES UpdateJuly 16, 2013

✔ NPI 1013226802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in MI · 4301096912

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3901 BEAUBIEN ST, Detroit, MI 48201

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rupa Thacker M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Rupa Thacker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Children's Hospital Los Angeles Medical Group, Inc.

1,984 mi

Multi-Specialty

4650 SUNSET BLVD
Los Angeles, CA 90027

Reassigned Medicare billing, California enrollment
Medicare enrollment name: Childrens Hospital Los Angeles Medical Group Inc
1,281 clinicians in this Medicare group

NPI 1265530653 (323) 361-2337

Permanente Medical Group Inc

2,028 mi

Internal Medicine

7373 WEST LANE
Stockton, CA 95210

Reassigned Medicare billing, California enrollment
20,078 clinicians in this Medicare group

NPI 1548343510 (209) 476-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAROLINA MAKSIMOWSKI

Pediatrics (Pediatric Emergency Medicine)