Individual provider Active NPI

Trina Insook Tridico, MD

  • Family Medicine Physician
  • Hickory, NC
National Provider Identifier
1376679001
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2009-00098 Issued in NC
Practice address
24 2ND Ave NE
Hickory, NC 28601-5045
Phone
(828) 328-2231
Fax
(828) 323-1562
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2009-00098 NC Primary
Legal Medicine (M.D./D.O.) Physician 209800000X 2009-00098 NC

Addresses

Primary practice location

24 2ND Ave NE
Hickory, NC 28601-5045

Mailing address

PO Box 890273
Charlotte, NC 28289-0273
Phone (828) 328-2231

Other identifiers 2

IdentifierTypeStateIssuer
5911061MedicaidNC
CN8132OtherNCMEDICARE RAILROAD

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
I20090306000012 NC Practitioner - Family Practice 1456417054 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catawba Valley Medical Group IncGroup PAC ID 6305007279, 133 clinicians

Practice addresses (Care Compare)

24 2ND Ave NE
Hickory, NC 28601-5045
Phone (828) 732-5100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2009-00098NCMDLegal Medicine (M.D./D.O.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catawba Valley Medical Group, Inc Family Medicine Current Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Jan 4, 2016 Accepting new patients
Catawba Valley Medical Group Inc CurrentSince Jan 4, 2016 Accepting new patients
Catawba Valley Medical Group, Inc Family Medicine Past Accepting new patients

Locations

200 Rosenwald School St
Catawba, NC 28609
Phone (828) 241-2377

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

24 2nd Ave NE
Hickory, NC 28601
Phone (828) 324-9900

50 Macedonia Church Rd
#A
Taylorsville, NC 28681
Phone (828) 732-5300

Interoperability endpoints

  • Direct secure messaging: trina.tridico@cvmg.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376679001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890273",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890273",
            "telephone_number": "828-328-2231",
            "fax_number": "828-323-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 2ND AVE NE",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015045",
            "telephone_number": "828-328-2231",
            "fax_number": "828-323-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIDICO",
        "first_name": "TRINA",
        "middle_name": "INSOOK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2009-00098",
            "primary": true
        },
        {
            "code": "209800000X",
            "taxonomy_group": "",
            "desc": "Legal Medicine",
            "state": "NC",
            "license": "2009-00098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5911061",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CN8132",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

Verify at the official NPI Registry.