RYAN RUPPERT
NPI 1023699766
Psychiatry & Neurology - Psychiatry in Los Angeles, CA

Active since April 15, 2021PECOS Enrolled
1200 N STATE STREET, CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033(302) 258-6852 Get Directions Write a Review

NPPES record last updated: June 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 27, 2024, Apr 30, 2024, Apr 15, 2021 (3 updates tracked since 2021).

About Ryan Ruppert NPPES

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

RYAN RUPPERT (NPI 1023699766) is an individual psychiatry provider in Los Angeles, California, licensed in California (A186096) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1023699766
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameRYAN RUPPERT
Location Address1200 N STATE STREET, CLINIC TOWER, SUITE A7DLos Angeles, CA 90033-1029
Mailing Address1200 N State StLos Angeles, CA 90089-1001
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 15, 2021
Last NPPES UpdateJune 27, 20243 updates tracked since enumeration
NPPES CertifiedJune 27, 2024
NPI 1023699766 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License Licensed in CA · A186096
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
1200 N STATE STREET, Los Angeles, CA 90033

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ryan Ruppert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072099712
PECOS Enrollment IDI20260112003244
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90033 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
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.

Neurological Surgery
1200 N STATE STREET, SUITE 3300
LOS ANGELES, CA 90033
Obstetrics & Gynecology
1200 N STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Dentist (General Practice)
1200 N STATE STREET, CLINICAL TOWER, SUITE A7D
LOS ANGELES, CA 90033
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Anesthesiology
1200 N STATE STREET, LAC USC MEDICAL CENTER
LOS ANGELES, CA 90033
Internal Medicine
1200 N STATE STREET, CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Emergency Medicine
1200 N STATE STREET, CLINIC TOWER, ROOM 1011
LOS ANGELES, CA 90033
Dietitian, Registered (Nutrition, Pediatric)
1200 N STATE STREET
LOS ANGELES, CA 90033

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ryan Ruppert's NPI number?

The NPI number for Ryan Ruppert is 1023699766. It was assigned to this individual provider in the NPPES registry on April 15, 2021.

Where is Ryan Ruppert located?

Ryan Ruppert practices at 1200 N State Street Clinic Tower, Suite A7d, Los Angeles, CA 90033. The listed phone number is (302) 258-6852.

What is Ryan Ruppert's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Ryan Ruppert enrolled in Medicare?

Yes. Ryan Ruppert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ryan Ruppert was last updated on June 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.