Individual provider Active NPI

Michael David Tripp, MD

  • Vascular & Interventional Radiology Physician
  • Greenville, NC
National Provider Identifier
1073595138
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
00-26607 Issued in NC
Practice address
2101 W Arlington Blvd Ste 210
Greenville, NC 27834-5758
Phone
(252) 752-5000
Fax
(252) 931-7694
NPI assigned
Nov 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 00-26607 NC Primary

Addresses

Primary practice location

2101 W Arlington Blvd Ste 210
Greenville, NC 27834-5758

Mailing address

PO Box 30750
Greenville, NC 27833-0750
Phone (252) 752-5000

Other identifiers 3

IdentifierTypeStateIssuer
560994806SOtherNCCIGNA
8983754MedicaidNC
83754OtherNCBCBSNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100520000751 NC Practitioner - Diagnostic Radiology 1153405683 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Brody School of Medicine at East Carolina University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Radiologists IncGroup PAC ID 2466355383, 92 clinicians

Practice addresses (Care Compare)

101 Bethesda Dr
Greenville, NC 27834-7201
Phone (252) 758-4181

101 Clinic Dr
Tarboro, NC 27886-1935
Phone (252) 823-8262

101 Heart Dr
Greenville, NC 27834-8982
Phone (252) 744-4611

102 Bethesda Dr
Greenville, NC 27834-7201
Phone (252) 847-7700

111 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 641-7700

113 Virginia Rd
Edenton, NC 27932-1446
Phone (252) 482-2116

115 Heart Dr
Greenville, NC 27834-8982
Phone (252) 744-4400

1380 Cowell Farm Rd
Washington, NC 27889-3431
Phone (252) 946-2101

1385 Medical Ctr Dr
Roanoke Rapids, NC 27870-5130
Phone (252) 537-9176

1403 S King St
Windsor, NC 27983-9666
Phone (252) 794-6600

210 Smith Church Rd
Roanoke Rapids, NC 27870-4942
Phone (252) 535-8463

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 752-5000

2101 W Arlington Blvd
Greenville, NC 27834-5758
Phone (252) 752-5000

211 Virginia Rd
Edenton, NC 27932-9668
Phone (252) 482-8451

220 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 537-9268

2325 Stantonsburg Rd
Greenville, NC 27834-7534
Phone (252) 847-1550

250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 535-8011

275 Bethesda Dr
Greenville, NC 27834-7217
Phone (252) 752-5077

3102 N Croatan Hwy
Kill Devil Hills, NC 27948-9200
Phone (252) 261-9940

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

4800 S Croatan Hwy
Nags Head, NC 27959-9704
Phone (252) 449-4500

500 Academy St S
Ahoskie, NC 27910-3248
Phone (252) 209-3000

5565 N Croatan Hwy
Kitty Hawk, NC 27949-4090
Phone (252) 449-7474

598 W Old County Rd
Belhaven, NC 27810-1232
Phone (252) 943-0600

628 E 12TH St
Washington, NC 27889-3409
Phone (252) 975-4100

Hospital & facility affiliations

  • Ecu Health Medical Center Hospital, Greenville, NC, CCN 340040
  • Vidant Chowan Hospital Hospital, Edenton, NC, CCN 341318
  • The Outer Banks Hospital, Inc Hospital, Nags Head, NC, CCN 341324
  • Vidant Roanoke Chowan Hospital Hospital, Ahoskie, NC, CCN 340099
  • Ecu Health North Hospital Hospital, Roanoke Rapids, NC, CCN 340151

Merit-based Incentive Payment System (MIPS)

Final score
54.56 of 100Reported as group
Quality
30.99
Improvement activities
40
Cost
75.06

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
26607NCMDAddiction (Substance Use Disorder) Counselor
00-26607NCMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Advanced Imaging Solutions, LLC CurrentSince Jan 1, 2024 Accepting new patients
Eastern Radiologists Inc Vascular & Interventional Radiology CurrentSince May 13, 2010 Accepting new patients
East Carolina University Current Accepting new patients
East Carolina University CurrentSince Nov 15, 2022 Accepting new patients
Vidant Medical Group LLC Past Accepting new patients

Locations

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

2101 W Arlington Blvd
#210
Greenville, NC 27834

2101 W Arlington Blvd
Greenville, NC 27834
Phone (252) 931-7638

9 Doctors Park
Greenville, NC 27834

402 Bowman Gray Dr
Greenville, NC 27834
Phone (252) 744-9490

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

2101 W Arlington Blvd
Ste 210
Greenville, NC 27834
Phone (252) 931-7638

630 E 11th St
Washington, NC 27889
Phone (252) 946-2137

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1073595138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30750",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278330750",
            "telephone_number": "252-752-5000",
            "fax_number": "252-931-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W ARLINGTON BLVD STE 210",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345758",
            "telephone_number": "252-752-5000",
            "fax_number": "252-931-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "MICHAEL",
        "middle_name": "DAVID",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-15",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NC",
            "license": "00-26607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "560994806S",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8983754",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSNC",
            "identifier": "83754",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.