KELSEY RUPP MD
NPI 1639737000
Surgery - Surgical Critical Care in Santa Maria, CA

Q: What is Kelsey Rupp's NPI number?

The NPI number for Kelsey Rupp is 1639737000. It was assigned to this individual provider in the NPPES registry on May 31, 2019.

Q: What is Kelsey Rupp's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Q: When was this NPI record last updated?

The NPPES record for Kelsey Rupp was last updated on August 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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 May 31, 2019PECOS EnrolledAccepts Medicare Assignment

316 S STRATFORD AVE STE B, SANTA MARIA, CA 93454(805) 332-8446(805) 332-8483 Get Directions Write a Review

NPPES record last updated: August 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 4, 2025, Jul 1, 2025, Apr 3, 2025 and 1 more (4 updates tracked since 2019).

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About Kelsey Rupp Md NPPES

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

KELSEY RUPP MD (NPI 1639737000) is an individual surgical critical care provider in Santa Maria, California, licensed in California (A194271) and active in the NPI registry since May 2019. She is enrolled in Medicare PECOS and is a graduate of Virginia Commonwealth University, School Of Medicine (2019).

NPPES Registry Identity

NPI1639737000

Entity TypeIndividualFemale

Primary Taxonomy2086S0102X

Provider Legal NameKELSEY RUPPCredential: MD

Location Address316 S STRATFORD AVE STE BSanta Maria, CA 93454-5908

Mailing Address316 S Stratford Ave Ste BSanta Maria, CA 93454-5908 · (805) 332-8446 · Fax (805) 332-8483

Phone(805) 332-8446

Fax(805) 332-8483

Sole ProprietorNo

Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2019

Enumeration DateMay 31, 2019

Last NPPES UpdateAugust 4, 20254 updates tracked since enumeration

NPPES CertifiedAugust 4, 2025

✔ NPI 1639737000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians

Taxonomy Code2086S0102X

License✔ Licensed in CA · A194271

Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

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

316 S STRATFORD AVE STE B, Santa Maria, CA 93454

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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

Kelsey Rupp 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 ID547594202

PECOS Enrollment IDI20250716003319

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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