Individual provider Active NPI

Chidrup Tripathi, DO

  • Psychiatry Physician
  • Providence, RI
National Provider Identifier
1154850113
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
DO01427 Issued in RI
Practice address
164 Summit Avenue
Fain BLDG, Suite 2B
Providence, RI 02906-2853
Phone
(401) 793-4300
NPI assigned
Jun 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X DO3588 ME
Geriatric Psychiatry Physician 2084P0805X DO3588 ME
Psychiatry Physician 2084P0800X DO01427 RI Primary

Addresses

Primary practice location

164 Summit Avenue
Fain BLDG, Suite 2B
Providence, RI 02906-2853

Mailing address

117 Ellenfield St Ste 101
Providence, RI 02905-4541
Phone (401) 444-6779

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME, RI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230727002559 ME Practitioner - Geriatric PsychiatryPractitioner - Psychiatry 0244505824 Reassigns benefits to 2 organizations
I20250617003030 RI Practitioner - Psychiatry 0244505824 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Rowan University School of Osteopathic Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lifespan Physician Group IncGroup PAC ID 2567455082, 1,151 clinicians
The Miriam HospitalGroup PAC ID 6901796408, 178 clinicians
MainehealthGroup PAC ID 7517860588, 2,616 clinicians

Practice addresses (Care Compare)

164 Summit Ave
Providence, RI 02906-2853
Phone (401) 793-4300

164 Summit Ave
Providence, RI 02906-2894
Phone (401) 793-8700

22 Bramhall St
Portland, ME 04102-3134
Phone (207) 706-3280

Hospital & facility affiliations

  • The Miriam Hospital Hospital, Providence, RI, CCN 410012
  • Mainehealth Pen Bay Hospital Hospital, Rockport, ME, CCN 200063

Merit-based Incentive Payment System (MIPS)

Final score
97.93 of 100Reported as apm
Quality
83.31
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO01427RIMDPsychiatry Physician
DO3588MEMDGeriatric Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Mary'S Regional Medical Center Psychiatry Current Accepting new patients
Lifespan Physician Group, Inc. CurrentSince Jun 30, 2025 Accepting new patients
Mainehealth Current Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Nov 15, 2024 Accepting new patients
Pine Tree Psychiatry Psychiatry Current Accepting new patients
Mainehealth CurrentSince Jul 17, 2023 Accepting new patients
St. Mary'S Regional Medical Center CurrentSince Nov 15, 2024 Accepting new patients
Lifespan Physician Group, Inc. Psychiatry CurrentSince Jun 30, 2025 Accepting new patients
The Miriam Hospital CurrentSince Jun 30, 2025 Accepting new patients
Mainehealth CurrentSince Jul 17, 2023 Accepting new patients
The Miriam Hospital Psychiatry CurrentSince Jun 30, 2025 Accepting new patients
St. Mary'S Regional Medical Center Past Accepting new patients

Locations

93 Campus Ave
Lewiston, ME 04240
Phone (207) 755-3715

22 Bramhall St
Portland, ME 04102
Phone (207) 662-2179

117 Ellenfield St
Ste 101
Providence, RI 02905
Phone (401) 444-4318

164 Summit Ave
Ste 2B
Providence, RI 02906
Phone (401) 793-3376

593 Eddy St
#6
Providence, RI 02903
Phone (401) 793-9166

164 Summit Ave
Providence, RI 02906
Phone (401) 793-2104

593 Eddy St
Providence, RI 02903

Interoperability endpoints

  • Direct secure messaging: ctripathi2771916@direct.bsmhealth.org
  • Direct secure messaging: ctripathi591476@direct.mmc.mainehealth.org

Organizations & group practices 12

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 2

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": "1496620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1154850113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ELLENFIELD ST STE 101",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029054541",
            "telephone_number": "401-444-6779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 SUMMIT AVENUE",
            "address_2": "FAIN BLDG, SUITE 2B",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029062853",
            "telephone_number": "401-793-4300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPATHI",
        "first_name": "CHIDRUP",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-05",
        "last_updated": "2025-05-07",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "ME",
            "license": "DO3588",
            "primary": false
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "ME",
            "license": "DO3588",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "RI",
            "license": "DO01427",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

Verify at the official NPI Registry.