Active NPI
Jennifer Trpkovski, D.O.
- Sports Medicine (Family Medicine) Physician
- Bloomington, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 02006524A
- Practice address
- 2605 E Creeks Edge Dr
Bloomington, IN 47401-8368 - Phone
- (812) 333-2663
- NPI assigned
- Aug 10, 2010
- Last updated
- Oct 29, 2021
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 5101018983 | MI | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 5101018983 | MI | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 02006524A | IN | Primary |
Addresses
Primary practice location
2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Mailing address
2605 E Creeks Edge Dr
Bloomington, IN 47401-8368
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Sports Medicine
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
2605 E Creeks Edge Dr
Indiana University So in Phy Inc
Bloomington, IN 47401-8368
Phone (888) 484-3258
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Indiana University Health Southern Indiana Physicians, LLC | Family Medicine | Current | Accepting new patients |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Past | Accepting new patients | |
| Mi Street Orthopedic Specialists PC | Past | Accepting new patients |
Locations
2605 E Creeks Edge Dr
Bloomington, IN 47401
Phone (812) 333-2663
727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
Interoperability endpoints
- jtrpkovski@direct.iuhealth.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Family Medicine
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
-
- Orthopaedic Surgery Physician
- Grand Rapids, MI
- NPI 1497860795
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Iu Health Bloomington
- General Acute Care Hospital
- Bloomington, IN
- NPI 1205860335
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635465600000",
"number": "1245545615",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2605 E CREEKS EDGE DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2605 E CREEKS EDGE DR",
"city": "BLOOMINGTON",
"state": "IN",
"postal_code": "474018368",
"telephone_number": "812-333-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRPKOVSKI",
"first_name": "JENNIFER",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-10",
"last_updated": "2021-10-29",
"certification_date": "2021-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5101018983",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MI",
"license": "5101018983",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IN",
"license": "02006524A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bloomington, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.