KATHERINE NICOLE DUPAS DO, MS
NPI 1376245332
Internal Medicine in San Diego, CA

Q: What is Katherine Dupas's NPI number?

The NPI number for Katherine Dupas is 1376245332. It was assigned to this individual provider in the NPPES registry on March 21, 2023.

Q: What is Katherine Dupas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Katherine Dupas was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 21, 2023PECOS Enrolled

4077 FIFTH AVE # MER-35, SAN DIEGO, CA 92103(619) 260-7220 Get Directions Write a Review

NPPES record last updated: June 17, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 17, 2025, Apr 9, 2024, Mar 21, 2023 (3 updates tracked since 2023).

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About Katherine Nicole Dupas Do, Ms NPPES

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

KATHERINE NICOLE DUPAS DO, MS (NPI 1376245332) is an individual internal medicine provider in San Diego, California, licensed in California (20A23653) and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1376245332

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NameKATHERINE NICOLE DUPASCredential: DO, MS

Location Address4077 FIFTH AVE # MER-35San Diego, CA 92103-2105

Mailing Address4077 Fifth Ave # Mer-35San Diego, CA 92103-2105

Phone(619) 260-7220

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateMarch 21, 2023

Last NPPES UpdateJune 17, 20253 updates tracked since enumeration

NPPES CertifiedJune 17, 2025

✔ NPI 1376245332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · 20A23653

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4077 FIFTH AVE # MER-35, San Diego, CA 92103

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Secondary Practice Location 1

Location 11809 National AveSan Diego, CA 92113-2113 · Phone (619) 515-2300

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katherine Nicole Dupas Do, Ms is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4082127295

PECOS Enrollment IDI20250701002542

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 92103 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

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$108.42 typical visit price

range $20.62 – $151.42

Typical copayment $27.10 (range $5.15 – $37.85)

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.

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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.

DR. EMILY KOLYVAS MD, PHD

Student in an Organized Health Care Education/Training Program