IndividualActive
Rupin Thakkar, MD
NPI 1164528790 · Pediatric Adolescent Medicine Physician · Edmonds, WA
Provider details
- NPI number
- 1164528790
- Entity type
- Individual
- Primary specialty
- Pediatric Adolescent Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD00046476 (WA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
21600 Highway 99
Suite 290
Edmonds, WA 98026-8012
Phone: (425) 778-0191
Fax: (425) 672-2110
Street-level locationGet directions
Mailing address
21600 Highway 99
Edmonds, WA 98026-8012
Registry dates
- Enumerated
- 2006-09-14
- Last updated
- 2020-10-09
- Certified
- 2020-10-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.