Individual provider Active NPI

Kavita Tripathi, M.D.

  • Family Medicine Physician
  • Danville, VA
National Provider Identifier
1285026062
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101261601 Issued in VA
Practice address
125 Executive Dr Ste H
Danville, VA 24541-4155
Phone
(434) 791-1345
Fax
(434) 773-6811
NPI assigned
Mar 3, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X L.4132R AL
Family Medicine Physician 207Q00000X 0101261601 VA Primary

Addresses

Primary practice location

125 Executive Dr Ste H
Danville, VA 24541-4155

Mailing address

125 Executive Dr Ste H
Danville, VA 24541-4155
Phone (434) 791-1345

Other practice location 1

4371 Narrow Lane Rd Ste 100
Montgomery, AL 36116-2975
Phone (334) 613-3680

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20171002000702 VA Practitioner - Family Practice 7113292137 Reassigns benefits to 1 organization
I20220919001210 DC Practitioner - Family Practice 7113292137 Reassigns benefits to 1 organization
I20230620003499 MD Practitioner - Family Practice 7113292137 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

1145 19TH St NW
311 MMG at 19TH Street NW
Washington, DC 20036-3735
Phone (202) 429-2401

13950 Brandywine Rd
Brandywine, MD 20613-5815
Phone (301) 782-2220

25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Phone (240) 434-4088

3007 Tilden St NW
Suite 5N
Washington, DC 20008-3030

Hospital & facility affiliations

  • Medstar Health Home Care Home health agency, Hyattsville, MD, CCN 217150
  • Medstar Georgetown University Hospital Hospital, Washington, DC, CCN 090004

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L.4132RALMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Aug 15, 2022 Accepting new patients
Danville Physician Practices LLC CurrentSince Aug 1, 2017 Accepting new patients
Greensboro Pathology, LLC Current Accepting new patients
Danville Physician Practices LLC Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Medstar Medical Group II LLC Past Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

4660 Wilkens Ave
Ste 100
Baltimore, MD 21229
Phone (410) 247-0782

13950 Brandywine Rd
Brandywine, MD 20613
Phone (301) 782-2220

13950 Brandywine Rd
Ste 125
Brandywine, MD 20613
Phone (301) 782-2220

29955 Three Notch Rd
Ste 100
Charlotte Hall, MD 20622
Phone (301) 290-5300

25500 Point Lookout Rd
Leonardtown, MD 20650
Phone (301) 475-6106

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

125 Executive Dr
Ste H
Danville, VA 24541
Phone (434) 791-1345

142 S Main St
Danville, VA 24541
Phone (434) 799-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19847/brand/3/csg/21/fhir/r4

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 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": "1425340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1285026062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 EXECUTIVE DR STE H",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414155",
            "telephone_number": "434-791-1345",
            "fax_number": "434-773-6811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 EXECUTIVE DR STE H",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245414155",
            "telephone_number": "434-791-1345",
            "fax_number": "434-773-6811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4371 Narrow Lane Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162975",
            "country_code": "US",
            "telephone_number": "334-613-3680",
            "fax_number": "334-613-3685",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIPATHI",
        "first_name": "KAVITA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": "L.4132R",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101261601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

Verify at the official NPI Registry.