Sanjay P Tripathi, MD is a medicare enrolled "Thoracic Surgery (cardiothoracic Vascular Surgery)" physician in Bloomington, Indiana. He graduated from medical school in 1992 and has 34 years of diverse experience with area of expertise as Thoracic Surgery. He is a member of the group practice Indiana University Health Southern Indiana Physicians Llc and his current practice location is
2651 E Discovery Pkwy, Bloomington, Indiana. You can reach out to his office (for appointments etc.) via phone at
(812) 334-5081.
Sanjay P Tripathi is licensed to practice in Indiana (license number 01094033A) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1417904236.
Physician's Profile
| Full Name | Sanjay P Tripathi |
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| Gender | Male |
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| Speciality | Thoracic Surgery |
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| Experience | 34 Years |
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| Location | 2651 E Discovery Pkwy, Bloomington, Indiana |
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| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
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Medical Education and Training:
- Sanjay P Tripathi graduated from medical school in 1992
NPI Data:
- NPI Number: 1417904236
- Provider Enumeration Date: 05/27/2006
- Last Update Date: 10/03/2024
Medicare PECOS Information:
- PECOS PAC ID: 6608836150
- Enrollment ID: I20240823002550
Medical Identifiers
Medical identifiers for Sanjay P Tripathi such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1417904236 | NPI | - | NPPES |
| 300095094 | Medicaid | IN | |
| 090540A30 | Other | IN | MEDICARE PTAN |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 208600000X | Surgery | 01094033A (Indiana) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 04-32222 (Kansas) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 54328 (Colorado) | Secondary |
| 208G00000X | Thoracic Surgery (cardiothoracic Vascular Surgery) | 01094033A (Indiana) | Primary |
Medical Facilities Affiliation
Group Practice Association
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|
| Indiana University Health Southern Indiana Physicians Llc | 6204748197 | 461 |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Sanjay P Tripathi allows following entities to bill medicare on his behalf.
| Entity Name | Indiana University Health Southern Indiana Physicians Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1013953983
PECOS PAC ID: 6204748197
Enrollment ID: O20040423000556 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Sanjay P Tripathi is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Sanjay P Tripathi, MD
250 N Shadeland Ave,
Indianapolis, IN 46219-4959
Ph: () - | Sanjay P Tripathi, MD
2651 E Discovery Pkwy,
Bloomington, IN 47408-9059
Ph: (812) 334-5081 |
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