SUDEEP RUPARELIA MD
NPI 1265817001
Hospitalist in Athens, GA
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
Specialties & Licenses 2
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
5Medicare enrollment records show Sudeep Ruparelia reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 18 clinicians in this Medicare group
Athens, GA 30606
- Reassigned Medicare billing, Georgia enrollment
- 118 clinicians in this Medicare group
Monroe, GA 30655
- Reassigned Medicare billing, Georgia enrollment
- 777 clinicians in this Medicare group
Macon, GA 31210
- Reassigned Medicare billing, Georgia enrollment
- 635 clinicians in this Medicare group
Tifton, GA 31794
- Reassigned Medicare billing, Georgia enrollment
- 380 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
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, GAPiedmont Athens Regional Medical Center
Acute Care Hospitals · Athens, GAPhysician 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.
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.
Reported Quality Measures
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.
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.
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.
Which organizations bill Medicare for Sudeep Ruparelia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sudeep Ruparelia reassigns Medicare benefits to 5 organizations: Athens Hospitalist Services PC (Athens, GA), Piedmont Athens Primary Care LLC (Athens, GA), Hospital Physician Services - Southeast Professional Corporation (Monroe, GA), Cogent Healthcare Of Georgia PC (Macon, GA) and Tift Regional Health System, Inc (Tifton, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sudeep Ruparelia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sudeep Ruparelia accept?
Health plans from Alliant Health Plans, Inc., Oscar Health 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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.
# Sudeep Ruparelia, MD · NPI 1265817001
Hospitalist physician in Athens, Georgia. Individual provider, active in the CMS NPPES registry since July 22, 2015.
## Identity
- **NPI:** 1265817001 (Entity type: Individual)
- **Enumerated:** July 22, 2015
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 88195 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1230 BAXTER ST, Athens, GA 30606-3712
- **Phone:** (706) 389-3410 · **Fax:** (706) 389-3411
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Athens Hospitalist Services PC (NPI 1295803013, Athens, GA); Piedmont Athens Primary Care LLC (NPI 1245746783, Athens, GA); Hospital Physician Services - Southeast Professional Corporation (NPI 1760410385, Monroe, GA); Cogent Healthcare Of Georgia PC (NPI 1609827823, Macon, GA); Tift Regional Health System, Inc (NPI 1861022329, Tifton, GA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** March 24, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1265817001) · Data from the CMS NPPES public registry.