Ajitkumar Tampi Trivikram, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

118628 Issued in NY

Practice address

151 Buffalo Ave
Suite 211
Niagara Falls, NY 14303-1243

Phone

(716) 282-0400

Fax

(716) 284-8085

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 4

Other names 1

• Ajit Trivikram Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/3c975af8-28ae-4d97-adec-66228015b5a8/

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.

• Niagara Falls Memorial Medical Center

  • Oncology Clinic/Center
  • Niagara Falls, NY
  • NPI 1144842816
  NPD (past)
• Niagara Falls Memorial Medical Center

  • Obstetrics & Gynecology Physician
  • Niagara Falls, NY
  • NPI 1982659256

  Surgery

  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200268800000",
    "number": "1528000882",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "151 BUFFALO AVE",
            "address_2": "SUITE 211",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031243",
            "telephone_number": "716-282-0400",
            "fax_number": "716-284-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "151 BUFFALO AVE",
            "address_2": "SUITE 211",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143031243",
            "telephone_number": "716-282-0400",
            "fax_number": "716-284-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIVIKRAM",
        "first_name": "AJITKUMAR",
        "middle_name": "TAMPI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2008-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NY",
            "license": "118628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "00010180201",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5066883",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDANT HEALTH",
            "identifier": "3100688",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00603085",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AJIT",
            "last_name": "TRIVIKRAM",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Brianne Tracy
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• Katelyn Trumpler, DPT
• Donald Edgar Trzepacz Jr., IDMT
• Anthony Paul Trzepkowski, O.D.
• Cheong Tsang, PHARM.D.

• Surgery Physician in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• Surgery Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.