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

Q: 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.

Q: 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.

Q: 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.

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: August 09, 2026.

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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

Phone(540) 981-7000

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

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Other Identifiers 4

Medicaid200363710IN

Medicare PIN223110GIN

Medicare PINVV4876AVA

Medicare UPING39425

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

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.

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.

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