VINOD TRIVEDI MD NPI 1003001645
Internal Medicine (Infectious Disease) in Sacramento, CA
About VINOD TRIVEDI
Vinod Trivedi is an internal medicine provider established in Sacramento, California and his medical specialization is internal medicine (infectious disease) with more than 27 years of experience. The NPI number of Vinod Trivedi is 1003001645 and was assigned on September 2007. The practitioner's primary taxonomy code is 207RI0200X with license number GJ218Z (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.
An internist like Vinod Trivedi Md is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Vinod Trivedi is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices
Vinod Trivedi is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Sutter Medical Center, Sacramento, Mercy General Hospital and Sutter Roseville Medical Center.
The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 100, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The provider also has detailed performance information the following quality measures: chronic care and preventative care management for empaneled patients, clinical data registry reporting, closing the referral loop: receipt of specialist report, documentation of current medications in the medical record, e-prescribing, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, provide patients electronic access to their health information, public health registry reporting, security risk analysis and use of decision support and standardized treatment protocols.
The typical physician office visit costs for Medicare beneficiaries in this area are: $35.11 for a new patient copayment and $27.26 for an established patient copayment.
| NPI | 1003001645 |
| Provider Name | VINOD TRIVEDI MD |
| Provider Location Address | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 |
| Provider Mailing Address | 1300 ETHAN WAY SUITE 600 SACRAMENTO, CA 95825 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 1995 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 09-06-2007 |
| Last Update Date | 10-19-2020 |
Primary Taxonomy
| Taxonomy Code | 207RI0200X |
| Classification | Internal Medicine |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Infectious Disease |
| License No. | GJ218Z |
| License State | CA |
| Taxonomy Description | An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine. |
Business Address
VINOD TRIVEDI MD
1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA
ZIP 95816
Phone: (916) 325-1040
Fax: (916) 669-4100
Mailing Address
VINOD TRIVEDI MD
1300 ETHAN WAY
SUITE 600
SACRAMENTO, CA
ZIP 95825
Phone: (916) 679-3590
Fax: (916) 482-3647
Medicare Participation
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 7517056583 |
| PECOS Enrollment ID | I20120821000136 |
| Accepts Medicare Assignment? | Yes "What does it mean "accepts medicare assignment"? When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts. A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer. |
| Eligible order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / refer Power Mobility Devices | Yes |
Physician Office Visit Costs
The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 95816 ZIP code area.
| New Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for new patients office visits: 99204 | ||
| Minimum New Patient Pricing | Maximum New Patient Pricing | Typical New Patient Pricing |
| $61.52 | $185.29 | $140.46 |
| Minimum New Patient Copayment | Maximum New Patient Copayment | Typical New Patient Copayment |
| $15.38 | $46.32 | $35.11 |
| Established Patients Office Visits Costs * | ||
|---|---|---|
| Most Utilized Procedure Code for established patients office visits: 99214 | ||
| Minimum Established Patient Pricing | Maximum Established Patient Pricing | Typical Established Patient Pricing |
| $19.52 | $151.94 | $109.06 |
| Minimum Established Patient Copayment | Maximum Established Patient Copayment | Typical Established Patient Copayment |
| $4.88 | $37.98 | $27.26 |
* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Overall MIPS Quality Performance
The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 100 | |
|
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores. There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey. |
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| Promoting Interoperability (PI) | 25% | 95 | |
|
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores. The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data. |
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| Improvement Activities | 15% | 40 | |
|
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores. |
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| Cost | 20% | N/A | |
|
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services. Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores. |
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| MIPS Final Score | - | 100 | |
| The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment. | |||
MIPS Quality Measures
The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| In order to receive credit for this activity, a MIPS eligible clinician must manage chronic and preventive care for empaneled patients (that is, patients assigned to care teams for the purpose of population health management), which could include one or more of the following actions:- Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions;- Use evidence based, condition-specific pathways for care of chronic conditions (for example, hypertension, diabetes, depression, asthma, and heart failure). These might include, but are not limited to, the NCQA Diabetes Recognition Program (DRP)93 and the NCQA Heart/Stroke Recognition Program (HSRP)94;- Use pre-visit planning, that is, preparations for conversations or actions to propose with patient before an in-office visit to optimize preventive care and team management of patients with chronic conditions;- Use panel support tools, (that is, registry functionality) or other technology that can use clinical data to identify trends or data points in patient records to identify services due;- Use predictive analytical models to predict risk, onset and progression of chronic diseases; and/orUse reminders and outreach (e.g., phone calls, emails, postcards, patient portals, and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Clinical Data Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to a clinical data registry. | ||
| Closing the Referral Loop: Receipt of Specialist Report | 68% | 38 |
| Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred | ||
| Documentation of Current Medications in the Medical Record | 100% | 755 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| e-Prescribing | 96% | 1069 |
| At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using CEHRT. | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/orConduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following:- Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or - Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Pneumococcal Vaccination Status for Older Adults | 87% | 154 |
| Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 94% | 385 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounterNormal Parameters: Age 18 years and older BMI => 18.5 and < 25 kg/m2 | ||
| Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 88% | 25 |
| Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user | ||
| Provide Patients Electronic Access to Their Health Information | 93% | 388 |
| For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient-authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified electronic health record technology (CEHRT). | ||
| Public Health Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement with a public health agency to submit data to public health registries. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified electronic health record technology (CEHRT) in accordance with requirements in 45 CFR 164.312(a)(2)(iv) and 164.306(d)(3), implement security updates as necessary, and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Vinod Trivedi is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| SUTTER MEDICAL CENTER, SACRAMENTO | 2825 CAPITOL AVENUE SACRAMENTO, CA 95816 | (916) 733-8999 | Acute Care Hospitals | 50108 | |
| MERCY GENERAL HOSPITAL | 4001 J ST SACRAMENTO, CA 95819 | (916) 453-4453 | Acute Care Hospitals | 50017 | |
| SUTTER ROSEVILLE MEDICAL CENTER | ONE MEDICAL PLAZA ROSEVILLE, CA 95661 | (916) 781-1000 | Acute Care Hospitals | 50309 |
Other Providers at the same location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1912949132 | RICHARD THOMAS KIM M.D. Individual | Internal Medicine (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 325-1040 |
| 1730124520 | DANIEL PHILIP IKEDA M.D. Individual | Internal Medicine (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 325-1040 |
| 1689600553 | MUHAMMAD AFZAL M.D. Individual | Internal Medicine (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 325-1040 |
| 1063458495 | RICHARD DAVID DEFELICE M.D. Individual | Internal Medicine (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 325-1040 |
| 1831127570 | DR. IMRAN AURANGZEB M.D. Individual | Internal Medicine (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 679-3590 |
| 1811927429 | GHOLAMHOSSAIN HAYAT M.D. Individual | Internal Medicine (Pulmonary Disease) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 325-1040 |
| 1861418543 | ALAN RUSSELL YEE M.D. Individual | Internal Medicine (Pulmonary Disease) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 325-1040 |
| 1255359378 | PULMONARY MEDICINE ASSOCIATES SLEEP LAB INC. Organization | Clinic/Center (Sleep Disorder Diagnostic) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 325-1040 |
| 1558385997 | DR. KAPIL DHAWAN M.D. Individual | Internal Medicine (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 325-1040 |
| 1093912958 | DR. SAMAN HAYATDAVOUDI M.D. Individual | Internal Medicine (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 325-1040 |
| 1750561452 | DR. BRADLEY WAYNE SCHROEDER MD, PHD Individual | Internal Medicine (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 325-1040 |
| 1356506372 | DR. BRETT RYAN LAURENCE MD Individual | Internal Medicine (Infectious Disease) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 325-1040 |
| 1063731966 | DR. NATHANIEL GORDON MD Individual | Internal Medicine (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 679-3590 |
| 1831456086 | DR. MANDEEP KAUR GREWAL M.D. Individual | Internal Medicine (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 679-3590 |
| 1366761496 | NATHANIEL RICHARD DEFELICE M.D. Individual | Internal Medicine (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 679-3590 |
| 1437781416 | ANDREA M DEFELICE NP Individual | Nurse Practitioner (Acute Care) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 679-3590 |
| 1417184078 | DR. RAVNEET RIAR M.D. Individual | Internal Medicine (Pulmonary Disease) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 679-3590 |
| 1366061285 | DEWAYNE LEE CECIL Individual | Nurse Practitioner (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 325-1040 |
| 1326420043 | HIMA BINDU VENIGANDLA D.O. Individual | Internal Medicine (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 679-3590 |
| 1851788665 | SEAN M GUNTHER MAHER MD Individual | Internal Medicine (Critical Care Medicine) | 1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816 (916) 325-1040 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.