Organization Active NPI

Trinity Medical Associates PA

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1376897090
Registry record updated Nov 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
TRINITY MEDICAL ASSOCIATES PA
Practice address
410 Foulk Rd
Suite 200B
Wilmington, DE 19803-3820
Phone
(302) 762-6675
NPI assigned
Nov 2, 2012
Last updated
Nov 2, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2012

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

Authorized official

Name
Vinod Kripalu, MDNPI 1295740033
Title
Owner/Physician
Phone
(302) 352-0517

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

410 Foulk Rd
Suite 200B
Wilmington, DE 19803-3820

Mailing address

1601 Milltown Rd
Suite 2
Wilmington, DE 19808-4027
Phone (302) 352-0517

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130129000048 DE Part B Supplier - Clinic/Group Practice 8921252941 Receives reassigned benefits from 22 practitioners
Practice locations: Wilmington, DE

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
08D2070226Trinity Medical Associates, PA410 Foulk Road, Suite 200B, Wilmington, DE 19803Certificate of waiverDec 10, 2027

National Provider Directory

National Provider Directory

Locations

2055 Limestone Rd
Ste 101
Wilmington, DE 19808
Phone (302) 762-6675

410 Foulk Rd
Ste 200B
Wilmington, DE 19803
Phone (302) 561-4202

5209 W Woodmill Dr
Wilmington, DE 19808
Phone (302) 762-6675

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/17876/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 23

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1351814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351814400000",
    "number": "1376897090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD",
            "address_2": "SUITE 2",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084027",
            "telephone_number": "302-352-0517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 FOULK RD",
            "address_2": "SUITE 200B",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198033820",
            "telephone_number": "302-762-6675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRINITY MEDICAL ASSOCIATES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-02",
        "last_updated": "2012-11-02",
        "status": "A",
        "authorized_official_last_name": "KRIPALU",
        "authorized_official_first_name": "VINOD",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "302-352-0517",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.