NPIMap

Individual provider Active NPI

Anil K Tripathy, M.D

  • Family Medicine Physician
  • Williamsville, NY
National Provider Identifier
1114978103
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
231591 Issued in NY
Practice address
164 Newcastle Dr
Williamsville, NY 14221-1991
Phone
(716) 639-8975
NPI assigned
May 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 231591 NY Primary

Addresses

Primary practice location

164 Newcastle Dr
Williamsville, NY 14221-1991

Mailing address

164 Newcastle Dr
Williamsville, NY 14221-1991
Phone (716) 639-8975

Other identifiers 1

IdentifierTypeStateIssuer
02552927MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cap Medical Group PLLC Past Accepting new patients
Southwestern Testing Service, Inc. Past Accepting new patients
Dick Van Dyke Addiction Treatment Center Past Accepting new patients
M a Stutzman Addiction Treatment Center Past Accepting new patients
Cap Medical, LLC Family Medicine Past Accepting new patients
Amherst Imaging Solutions, PLLC Past Accepting new patients
Paul J Caro MD Family Medicine Past Accepting new patients

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1147478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1114978103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 NEWCASTLE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211991",
            "telephone_number": "716-639-8975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 NEWCASTLE DR",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142211991",
            "telephone_number": "716-639-8975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPATHY",
        "first_name": "ANIL",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-13",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "231591",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02552927",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.