Individual provider Active NPI

Melissa Tripoli, MD

  • Ophthalmology Physician
  • Newark, OH
National Provider Identifier
1972940195
Registry record updated Nov 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
1972940195 Issued in PA
Practice address
1717 W Main St Ste 100
Newark, OH 43055-1385
Phone
(740) 522-8555
Fax
(740) 522-3620
NPI assigned
May 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X MT203969 PA
Ophthalmology Physician 207W00000X 1972940195 PA Primary

Addresses

Primary practice location

1717 W Main St Ste 100
Newark, OH 43055-1385

Mailing address

1717 W Main St Ste 100
Newark, OH 43055-3676
Phone (740) 522-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20170818001092 OH Practitioner - Ophthalmology 5698072742 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Temple University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for Sight IncGroup PAC ID 7214960855, 5 clinicians

Practice addresses (Care Compare)

1717 W Main St
Suite 100
Newark, OH 43055-1347
Phone (740) 522-8555

Hospital & facility affiliations

  • Licking Memorial Hospital Hospital, Newark, OH, CCN 360218

Merit-based Incentive Payment System (MIPS)

Final score
89.79 of 100Reported as group
Quality
100
Improvement activities
40
Cost
65.97

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery241
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1972940195PAMDOphthalmology Physician
MT203969PAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Sight, Inc Ophthalmology CurrentSince Jul 31, 2017 Accepting new patients

Locations

1717 W Main St
Apt 100
Newark, OH 43055
Phone (740) 522-8555

Organizations & group practices 1

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 1

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": "1369785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606694400000",
    "number": "1972940195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 W MAIN ST STE 100",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430553676",
            "telephone_number": "740-522-8555",
            "fax_number": "740-522-3620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 W MAIN ST STE 100",
            "city": "NEWARK",
            "state": "OH",
            "postal_code": "430551385",
            "telephone_number": "740-522-8555",
            "fax_number": "740-522-3620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPOLI",
        "first_name": "MELISSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-29",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT203969",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "PA",
            "license": "1972940195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, OH

Sources for this page

Verify at the official NPI Registry.