SUDEEP RUPARELIA MD
NPI 1265817001
Hospitalist in Athens, GA

Active since July 22, 2015PECOS EnrolledAccepts Medicare Assignment
78.41/100
CMS Quality Rating
1230 BAXTER ST, ATHENS, GA 30606(706) 389-3410(706) 389-3411 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 24, 2026, May 27, 2022 (2 updates tracked since 2022).

About Sudeep Ruparelia Md NPPES

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

SUDEEP RUPARELIA MD (NPI 1265817001) is an individual hospitalist provider in Athens, Georgia, licensed in Georgia (88195) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS, is affiliated with St Mary's Hospital, and maintains a secondary practice location in Athens.

NPPES Registry Identity

NPI1265817001
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameSUDEEP RUPARELIACredential: MD
Location Address1230 BAXTER STAthens, GA 30606-3712
Mailing Address1230 Baxter StAthens, GA 30606-3712 · (063) 893-4107 · Fax (706) 389-3411
Fax(706) 389-3411
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 22, 2015
Last NPPES UpdateMarch 24, 20262 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
NPI 1265817001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License Licensed in GA · 88195
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 88195 (GA), MT209327 (PA)
1230 BAXTER ST, Athens, GA 30606

Secondary Practice Location 1

Location 11270 Prince Ave Ste 201Athens, GA 30606-2789 · Phone (706) 475-7055

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Sudeep Ruparelia Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739480799
PECOS Enrollment IDI20220204000678
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
460 services199 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
175 services88 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
105 services103 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
76 services76 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Mary's Hospital

Acute Care Hospitals · Athens, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110006
Location1230 Baxter StreetAthens, GA 30606 · Clarke County
Emergency services Birthing friendly

Piedmont Athens Regional Medical Center

Acute Care Hospitals · Athens, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number110074
Location1199 Prince AvenueAthens, GA 30606 · Clarke County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30606 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.41/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality58.68
Promoting Interoperability100
Improvement Activities40
Cost66.15

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%111 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$18.80 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Radiology (Diagnostic Radiology)
1230 BAXTER ST
ATHENS, GA 30606
Radiology (Diagnostic Radiology)
1230 BAXTER ST
ATHENS, GA 30606
Radiology (Diagnostic Radiology)
1230 BAXTER ST
ATHENS, GA 30606
Radiology (Diagnostic Radiology)
1230 BAXTER ST
ATHENS, GA 30606
Emergency Medicine
1230 BAXTER ST
ATHENS, GA 30606
Radiology (Diagnostic Radiology)
1230 BAXTER ST
ATHENS, GA 30606
Radiology (Diagnostic Radiology)
1230 BAXTER ST
ATHENS, GA 30606
Emergency Medicine
1230 BAXTER ST
ATHENS, GA 30606

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 Sudeep Ruparelia's NPI number?

The NPI number for Sudeep Ruparelia is 1265817001. It was assigned to this individual provider in the NPPES registry on July 22, 2015.

Where is Sudeep Ruparelia located?

Sudeep Ruparelia practices at 1230 Baxter St, Athens, GA 30606. The listed phone number is (706) 389-3410.

What is Sudeep Ruparelia's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sudeep Ruparelia enrolled in Medicare?

Yes. Sudeep Ruparelia is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sudeep Ruparelia accept?

Health plans from Alliant Health Plans, Inc. and Oscar Insurance Company list Sudeep Ruparelia 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.

Is Sudeep Ruparelia affiliated with any hospitals?

According to CMS data, Sudeep Ruparelia is affiliated with St Mary's Hospital and Piedmont Athens Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Sudeep Ruparelia was last updated on March 24, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.