DR. RUPIN RAJ THAKKAR MD
NPI 1164528790
Pediatrics - Adolescent Medicine in Edmonds, WA

Q: What is Rupin Thakkar's NPI number?

The NPI number for Rupin Thakkar is 1164528790. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Q: What is Rupin Thakkar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Q: When was this NPI record last updated?

The NPPES record for Rupin Thakkar was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 14, 2006PECOS Enrolled

21600 HIGHWAY 99, SUITE 290, EDMONDS, WA 98026(425) 778-0191(425) 672-2110 Get Directions Write a Review

NPPES record last updated: October 9, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Rupin Raj Thakkar Md NPPES

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

DR. RUPIN RAJ THAKKAR MD (NPI 1164528790) is an individual adolescent medicine provider in Edmonds, Washington, licensed in Washington (MD00046476) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164528790

Entity TypeIndividualMale

Primary Taxonomy2080A0000X

Provider Legal NameDR. RUPIN RAJ THAKKARCredential: MD

Location Address21600 HIGHWAY 99, SUITE 290Edmonds, WA 98026-8012

Mailing Address21600 Highway 99, Suite 290Edmonds, WA 98026-8012 · (425) 778-0191 · Fax (425) 672-2110

Phone(425) 778-0191

Fax(425) 672-2110

Sole ProprietorNo

Enumeration DateSeptember 14, 2006

Last NPPES UpdateOctober 9, 2020

NPPES CertifiedOctober 9, 2020

✔ NPI 1164528790 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080A0000X

License✔ Licensed in WA · MD00046476

Definition

A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

21600 HIGHWAY 99, Edmonds, WA 98026

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rupin Raj Thakkar Md 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.

Other Providers at the Same Location NPPES 18

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

ANA BACIC

Nurse Practitioner

21600 HIGHWAY 99, SUITE 260
EDMONDS, WA 98026

Snohomish County (425) 774-2650

LAURIE JACOBSON M.D.

Dermatology (MOHS-Micrographic Surgery)

21600 HIGHWAY 99, STE 280
EDMONDS, WA 98026

Snohomish County (425) 774-2616

DR. GABRIEL BERSON MD

Pediatrics

21600 HIGHWAY 99
EDMONDS, WA 98026

Snohomish County (425) 673-3456

ROBERT G CHAFFEE MD

Internal Medicine (Gastroenterology)

21600 HIGHWAY 99, SUITE 260
EDMONDS, WA 98026

Snohomish County (425) 774-2650

MICHELLE J. GOTTSCHLICH M.D.

Internal Medicine (Gastroenterology)

21600 HIGHWAY 99, SUITE 260
EDMONDS, WA 98026

Snohomish County (425) 774-2650

CARA K DEBLEY MD

Internal Medicine (Gastroenterology)

21600 HIGHWAY 99, SUITE 260
EDMONDS, WA 98026

Snohomish County (425) 774-2650

NW DERMATOLOGY & SKIN CANCER CLINIC

Dermatology

21600 HIGHWAY 99, SUITE 280
EDMONDS, WA 98026

Snohomish County (425) 774-2616

ANNIKA KAI SUTTON-WOLF MD

Pediatrics

21600 HIGHWAY 99, SUITE 290
EDMONDS, WA 98026

Snohomish County (425) 778-0191

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 Rupin Thakkar's NPI number?

The NPI number for Rupin Thakkar is 1164528790. It was assigned to this individual provider in the NPPES registry on September 14, 2006.

Where is Rupin Thakkar located?

Rupin Thakkar practices at 21600 Highway 99 Suite 290, Edmonds, WA 98026. The listed phone number is (425) 778-0191.

What is Rupin Thakkar's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Rupin Thakkar enrolled in Medicare?

Yes. Rupin Thakkar is registered in the Medicare PECOS enrollment system.

What insurance does Rupin Thakkar accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Rupin Thakkar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Rupin Thakkar was last updated on October 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.