RANDALL ALLEN RUPPEL MD
NPI 1598749384
Pediatrics - Pediatric Critical Care Medicine in Roanoke, VA

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
1906 BELLEVIEW AVE SE, ROANOKE, VA 24014(540) 981-7000 Get Directions Write a Review

NPPES record last updated: March 28, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Randall Allen Ruppel Md NPPES

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

RANDALL ALLEN RUPPEL MD (NPI 1598749384) is an individual pediatric critical care medicine provider in Roanoke, Virginia, licensed in Virginia (0101251186) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Michigan Medical School (1992).

NPPES Registry Identity

NPI1598749384
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameRANDALL ALLEN RUPPELCredential: MD
Location Address1906 BELLEVIEW AVE SERoanoke, VA 24014-1838
Mailing Address1906 Belleview Ave SeRoanoke, VA 24014-1838
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1992
Enumeration DateDecember 5, 2005
Last NPPES UpdateMarch 28, 2016
✔ NPI 1598749384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in VA · 0101251186
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Also ListedPediatricsTaxonomy 208000000X · License 0101251186 (VA)
1906 BELLEVIEW AVE SE, Roanoke, VA 24014

Other Identifiers 4

Medicaid200363710IN
Medicare PIN223110GIN
Medicare PINVV4876AVA
Medicare UPING39425

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

Randall Allen Ruppel 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 ID7416900717
PECOS Enrollment IDI20120227000850
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.

Medicare Billing Reassignment

Medicare enrollment records show Randall Ruppel reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric/Mental Health
3505 BRAMBLETON AVE
Roanoke, VA 24018
  • Reassigned Medicare billing, Virginia enrollment
  • 4 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.

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.

Physician Assistant
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Family Medicine
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Anesthesiology
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Student in an Organized Health Care Education/Training Program
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014
Nurse Practitioner
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014

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 Randall Ruppel's NPI number?

The NPI number for Randall Ruppel is 1598749384. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Randall Ruppel located?

Randall Ruppel practices at 1906 Belleview Ave SE, Roanoke, VA 24014. The listed phone number is (540) 981-7000.

What is Randall Ruppel's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Randall Ruppel enrolled in Medicare?

Yes. Randall Ruppel 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 organization bills Medicare for Randall Ruppel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Randall Ruppel reassigns Medicare benefits to Star Behavioral Health, PLLC (Roanoke, VA). The 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 Randall Ruppel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Randall Ruppel was last updated on March 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.