Active NPI
Kumud S Tripathy, M.D.
- Medical Oncology Physician
- Bryan, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Oncology Physician
- License
- F9046
- Practice address
- 2215 E Villa Maria Rd
#110
Bryan, TX 77802-2548 - Phone
- (979) 776-2000
- Fax
- (979) 776-0427
- NPI assigned
- May 16, 2006
- Last updated
- Sep 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Oncology Physician | 207RX0202X | F9046 | TX | Primary |
Addresses
Primary practice location
2215 E Villa Maria Rd
#110
Bryan, TX 77802-2548
Mailing address
2215 E Villa Maria Rd
#110
Bryan, TX 77802-2548
Phone (979) 776-2000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 125738100 | Other | TX | FIRST CARE |
| 110135938 | Other | TX | MEDICARE RAILROAD |
| 100005101 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brazos Valley Hematology Oncology Associates, PA | Current | Accepting new patients | |
| Brazos Valley Hematology Oncology Associates, PA | Current | Accepting new patients | |
| St Joseph Regional Health Center | Past | Accepting new patients |
Locations
2215 E Villa Maria Rd
Ste 110
Bryan, TX 77802
Phone (979) 776-2000
2435 Harvey Mitchell Pkwy S
College Station, TX 77845
Phone (979) 776-2000
Organizations & group practices 3
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.
-
dba Brazos Valley Cancer Center
- Hematology & Oncology Physician
- Bryan, TX
- NPI 1376594432
-
dba Cancer Clinic Pharmacy
- Community/Retail Pharmacy
- College Station, TX
- NPI 1952920076
-
dba St Joseph Franklin Family Medicine Clinic
- Rural Health Clinic/Center
- Franklin, TX
- NPI 1780768911
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190246400000",
"number": "1811949407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2215 E VILLA MARIA RD",
"address_2": "#110",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022548",
"telephone_number": "979-776-2000",
"fax_number": "979-776-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2215 E VILLA MARIA RD",
"address_2": "#110",
"city": "BRYAN",
"state": "TX",
"postal_code": "778022548",
"telephone_number": "979-776-2000",
"fax_number": "979-776-0427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TRIPATHY",
"first_name": "KUMUD",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2007-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RX0202X",
"taxonomy_group": "",
"desc": "Internal Medicine, Medical Oncology",
"state": "TX",
"license": "F9046",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST CARE",
"identifier": "125738100",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "110135938",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100005101",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryan, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.