DR. DEMETRA VLAGOS RUPP (NPI# 1518131903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1518131903 |
| Entity Type | Individual |
| Full Name | DR. DEMETRA VLAGOS RUPP |
| Credential | M.D. |
| Practice Address |
302 Randall Rd Geneva IL 60134-4209 |
| Practice Telephone | 6302086775 |
| Practice Fax Number | 6302087937 |
| Mailing Telephone | 6302086775 |
| Mailing Fax Number | 6302087937 |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2012-11-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
036115634 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | RAILROAD MEDICARE PTAN (GROUP) | CE8792 | 01 |
| IL | 036115634 | 05 | |
| IL | RAILROAD MEDICARE PTAN (INDIVIDUAL) | P01090235 | 01 |
| IL | MEDICARE PTAN (GROUP) | 206147 | 01 |
| IL | MEDICARE PTAN (INDIVIDUAL) | 206147110 | 01 |
| IL | MEDICARE PTAN | 201557001 | 01 |
| IL | IL LICENSE # | 036-115634 | 01 |
| Street Address |
302 RANDALL RD |
| City | GENEVA |
| State | IL |
| Zip Code | 60134-4209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227570 | Steven J. Bielski | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2005-06-30 |
| 1518320191 | Christine Polz | Nurse Practitioner | 302 Randall Rd, Suite 202, Geneva, IL 60134-4209 | 2016-04-01 |
| 1578970042 | Thomas Skoumal Dds, PC | Clinic/Center | 302 Randall Rd, Suite 105, Geneva, IL 60134-4209 | 2014-07-16 |
| 1770828287 | Susannah More | Clinical Neuropsychologist | 302 Randall Rd, Geneva, IL 60134-4209 | 2012-12-10 |
| 1245587997 | Thomas Edward Skoumal | Dentist | 302 Randall Rd, Suite 105, Geneva, IL 60134-4209 | 2012-08-13 |
| 1811253677 | Brittany Summer Panico | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2012-04-05 |
| 1568783991 | Elizabeth A Lowden | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4220 | 2010-06-21 |
| 1194043455 | Niveditha Christodoss | Counselor | 302 Randall Rd, Ll30, Geneva, IL 60134-4209 | 2010-05-12 |
| 1659697100 | Jay Liu | Internal Medicine | 302 Randall Rd, Geneva, IL 60134 | 2010-04-08 |
| 1871822445 | Janeta Dimante M.d.s.c. | Obstetrics & Gynecology | 302 Randall Rd, Suite 305, Geneva, IL 60134-4209 | 2009-12-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403918 | Glenda Creighton | Physical Therapist | 0n 801 Friendship Way, Geneva, IL 60134 | 2020-10-02 |
| 1467912212 | Cierra Monae French | Family Medicine | Northwestern Medicine Delnor Hospital, 300 Randall Road, Geneva, IL 60134 | 2019-03-20 |
| 1497246227 | Linda Huber | Psychologist | 1541 E Fabyan Pkwy Ste 101, Geneva, IL 60134 | 2018-05-29 |
| 1003305459 | Nicole Collins | Specialist/Technologist | 1125 Lewis Road, Geneva, IL 60134 | 2018-05-01 |
| 1013438704 | Emily Byars | Clinic/Center | 1111 Greenfield Circle, Geneva, IL 60134 | 2017-07-03 |
| 1982142980 | Samantha Courtney | Counselor | 1120 Randall Ct., Geneva, IL 60134 | 2017-02-09 |
| 1073055026 | Physical Rehabilitation Clinics | Physical Therapist | 507 S. 3rd St. Unit I, Geneva, IL 60134 | 2016-11-08 |
| 1265868707 | Gina Marie Gilchrist | Dietitian, Registered | 39w479 W Haladay Ln, Geneva, IL 60134 | 2013-09-16 |
| 1770823585 | William A. Goodfellow | General Practice | 1010 S. Batavia Ave., Geneva, IL 60134 | 2013-02-15 |
| 1467705392 | Kylie L Mack | Physician Assistant | 351 Delnor Dr #100, Geneva, IL 60134 | 2012-10-16 |
| Find all providers in zip 60134 | ||||
| Taxonomy Code | 207RE0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Endocrinology, Diabetes & Metabolism |
| An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427028455 | Marvin Mengel | Internal Medicine | 486 Valley Stream Dr, Geneva, FL 32732-9229 | 2006-01-24 |
| 1144227570 | Steven J. Bielski | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2005-06-30 |
| 1013993336 | Tiffany A. Karas | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4209 | 2005-12-19 |
| 1538157524 | Fox Valley Endocrinology, LLC | Internal Medicine | 302 Randall Rd, Suite 304, Geneva, IL 60134-4209 | 2005-10-12 |
| 1043217490 | Elisa A Hofmann | Internal Medicine | 302 Randall Rd, Geneva, IL 60134-4205 | 2005-06-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356961304 | Wahid Kassar Md Ltd | Internal Medicine | 7447 W Talcott Ave Ste 444, Chicago, IL 60631-3715 | 2020-04-20 |
| 1245701812 | Chrysalis Health of Il P.C. | Internal Medicine | 402 Gardenia Ln, Buffalo Grove, IL 60089-1661 | 2018-12-07 |
| 1467920124 | Impact Physician Group, Illinois, LLC | Internal Medicine | 115 E South St Ste F, Plano, IL 60545-1595 | 2018-11-10 |
| 1538669510 | Oa Labs Clinic LLC. | Internal Medicine | 6321 Fairview Ave Ste B, Westmont, IL 60559-2886 | 2018-02-16 |
| 1457866519 | Mohammad Jamal Uddin Ansari | Internal Medicine | 751 N Rutledge St Ste 400, Springfield, IL 62702 | 2017-12-11 |
| 1356861496 | Javier Alcid Duron Tabora | Internal Medicine | 1725 W Harrison St Ste 250-a, Chicago, IL 60612-3841 | 2017-06-20 |
| 1336676923 | Villagemd Indiana, PC | Internal Medicine | 1 N Franklin St Ste 1205, Chicago, IL 60606 | 2017-05-15 |
| 1780135426 | Endocrine and Metabolic Center Inc | Internal Medicine | 280 Stonegate Rd, Algonquin, IL 60102-5600 | 2016-10-18 |
| 1174975601 | Bilal Shaikh | Internal Medicine | 1750 W Harrison St Ste 250, Chicago, IL 60612 | 2016-07-08 |
| 1316396294 | Melissa Faye Cohen | Internal Medicine | 835 S. Wolcott Street, Suite E625, M/c 640, Chicago, IL 60612 | 2016-06-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.