Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Timothy J Rupp, MD

Individual provider Emergency Medicine Physician · NPI 1497766166

Dr. Timothy J Rupp, MD is an Emergency Medicine in Dallas, Texas. Qualified in 2013, 13 years ago. Practices with Permanente Medical Group Inc, a 10,941-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in California, Idaho, Montana and Texas and 1 more.

Years since qualifying
13
Licensed in
CA, ID, MT, TX, UT
In the registry since
2006
Specialties on file
5
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1441 N Beckley Ave Mmc Dallas
Dallas, TX 75203
Phone: (214) 942-5733
Fax: (214) 942-6115
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 5000 Hopyard Rd, Pleasanton, CA 94588-3348 — (925) 924-1600
  • 2820 Ne 214th St Ste 801, Aventura, FL 33180-1269 — (754) 272-6489

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence K6282 (TX)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 113028 (MT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence M-16868 (ID)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 12846217-1205 (UT)
Emergency Medicine Physician Taxonomy 207P00000X · Licence C129547 (CA)

Record details

NPI number1497766166
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 10, 2006
Last updated in NPPESOctober 13, 2023
Certification dateOctober 13, 2023
Mailing address4040 N Central Expressway, 600, Dallas, TX 75204-3147

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Permanente Medical Group Inc — 10941 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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