Individual provider Active NPI

Sanjay P Tripathi, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Bloomington, IN
National Provider Identifier
1417904236
Registry record updated Oct 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
01094033A Issued in IN
Practice address
2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone
(812) 334-5081
Fax
(812) 334-5091
NPI assigned
May 27, 2006
Last updated
Oct 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 01094033A IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 04-32222 KS
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 54328 CO
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 01094033A IN Primary

Addresses

Primary practice location

2651 E Discovery Pkwy
Bloomington, IN 47408-9059

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

950 E. Harvard Ave
Suite 550
Denver, CO 80210
Phone (303) 778-6527

Other identifiers 2

IdentifierTypeStateIssuer
300095094MedicaidIN
090540A30OtherINMEDICARE PTAN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address stripathi@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, MI, IN3 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
I20141009001984 CO Practitioner - Cardiac SurgeryPractitioner - Thoracic Surgery 6608836150 Reassigns benefits to 1 organization
I20240808001344 MI Practitioner - Thoracic Surgery 6608836150 Reassigns benefits to 2 organizations
I20240823002550 IN Practitioner - Thoracic SurgeryPractitioner - Cardiac SurgeryPractitioner - Vascular Surgery 6608836150 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Thoracic SurgeryAlso: Cardiac Surgery, Vascular Surgery
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

2651 E Discovery Pkwy
Bloomington, IN 47408-9059
Phone (812) 353-9250

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.96 of 100Reported as group
Quality
78.58
Promoting interoperability
100
Improvement activities
40
Cost
74.61

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary artery bypass graft (CABG)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
54328COMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
04-32222KSMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Indiana University Health Southern Indiana Physicians, LLC Surgery CurrentSince Oct 1, 2024 Accepting new patients
Colorado Cardiovascular Surgical Associates,Inc. CurrentSince Aug 20, 2014 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Oct 1, 2024 Accepting new patients
Henry Ford Health Providence Hospital CurrentSince Jul 11, 2024 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Iu Health Medical Group, LLC CurrentSince Jan 1, 2026 Accepting new patients
Mymichigan Medical Center Saginaw CurrentSince Sep 1, 2024 Accepting new patients
Mymichigan Medical Center Saginaw Current Accepting new patients
Portercare Adventist Health System Current Accepting new patients
Portercare Adventist Health System Thoracic Surgery (Cardiothoracic Vascular Surgery) CurrentSince Nov 1, 2021 Accepting new patients
Portercare Adventist Health System CurrentSince Nov 1, 2021 Accepting new patients
Henry Ford Health Providence Hospital Surgery CurrentSince Jul 11, 2024 Accepting new patients
Presentation Medical Center Past Accepting new patients
Mymichigan Medical Center Saginaw Past Accepting new patients

Locations

950 E Harvard Ave
Ste 550
Denver, CO 80210
Phone (303) 269-2920

500 E Hampden Ave
Ste 204
Englewood, CO 80113
Phone (303) 778-6527

7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650

2651 E Discovery Pkwy
Bloomington, IN 47408
Phone (812) 353-9147

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1117 S Van Dyke Rd
Ste 300
Bad Axe, MI 48413

1 Genesys Pkwy
Ste 3452
Grand Blanc, MI 48439
Phone (248) 849-2600

4000 Wellness Dr
Midland, MI 48670
Phone (844) 832-1956

1015 S Washington Ave
Saginaw, MI 48601
Phone (989) 754-3289

1015 S Washington Ave
Fl 1
Saginaw, MI 48601
Phone 98975430004332

3570 Shattuck Rd
Saginaw, MI 48603
Phone (989) 792-5353

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

16001 W 9 Mile Rd
Fl 3
Southfield, MI 48075
Phone (248) 849-2600

28000 Dequindre Rd
Warren, MI 48092
Phone (586) 743-0944

Interoperability endpoints

  • Direct secure messaging: sanjay.tripathi.1@11016.direct.athenahealth.com
  • Direct secure messaging: stripathi@direct.iuhealth.org

Organizations & group practices 14

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.

View all 14

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1417904236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2651 E DISCOVERY PKWY",
            "city": "BLOOMINGTON",
            "state": "IN",
            "postal_code": "474089059",
            "telephone_number": "812-334-5081",
            "fax_number": "812-334-5091"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "950 E. Harvard Ave",
            "address_2": "Suite 550",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "80210",
            "country_code": "US",
            "telephone_number": "303-778-6527",
            "fax_number": "303-733-1288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRIPATHI",
        "first_name": "SANJAY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IN",
            "license": "01094033A",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "KS",
            "license": "04-32222",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CO",
            "license": "54328",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01094033A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300095094",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "090540A30",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "stripathi@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2651 E Discovery Pkwy",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474089059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomington, IN

Sources for this page

Verify at the official NPI Registry.