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

Dr. Zachary Wallace Rupp, MD

Individual provider Child & Adolescent Psychiatry Physician · NPI 1174151328

Dr. Zachary Wallace Rupp, MD is a Pediatric Medicine in Cincinnati, Ohio. Qualified in 2020, 6 years ago. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2020
Specialties on file
2
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

3333 Burnet Ave Ml 3014
Cincinnati, OH 45229
Phone: (513) 636-4788
Fax: (513) 636-4283
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence 35.151552 (OH)
Child & Adolescent Psychiatry Physician Taxonomy 2084P0804X · Licence 35.151552 (OH)

Record details

NPI number1174151328
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 31, 2020
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Accepts Medicare assignment Not indicated

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