VINOD TRIVEDI MD
NPI 1003001645
Internal Medicine - Infectious Disease in Sacramento, CA


Quality Rating: 99.68 out of 100 score

NPI Status: Active since September 06, 2007

Contact Information

1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA
ZIP 95816
Phone: (916) 325-1040
Fax: (916) 669-4100

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  • Individual
  • Male
  • Years of Experience 29
  • Internal Medicine
  • Infectious Disease
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About VINOD TRIVEDI

Vinod Trivedi is an internist established in Sacramento, California and his medical specialization is Internal Medicine with a focus in infectious disease with more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1003001645 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 3 years ago.

NPI1003001645
Provider NameVINOD TRIVEDI MD
Location Address1508 ALHAMBRA BLVD STE 200 SACRAMENTO, CA 95816
Location Phone(916) 325-1040
Mailing Address1300 ETHAN WAY SUITE 600 SACRAMENTO, CA 95825
GenderMale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year1995
Is Sole Proprietor?No
Enumeration Date09-06-2007
Last Update Date10-19-2020
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An internist like Vinod Trivedi 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 registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 99.68, 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 following quality measures were reported for this provider: chronic care and preventative care management for empaneled patients, closing the referral loop: receipt of specialist report, documentation of current medications in the medical record, e-prescribing, immunization registry reporting, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, medication reconciliation, patient-specific education, 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 patient access, secure messaging, security risk analysis, specialized registry reporting 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.

Location Map

Mailing Address

1300 ETHAN WAY
SUITE 600
SACRAMENTO, CA
ZIP 95825
Phone: (916) 679-3590
Fax: (916) 482-3647

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Infectious Disease

Taxonomy Code207RI0200X
TypeAllopathic & Osteopathic Physicians
License No.GJ218Z
License StateCA
Taxonomy DescriptionAn 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.

PECOS Enrollment and Medicare Participation Status

Vinod Trivedi is enrolled in PECOS and is eligible to order or refer health care 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 7517056583

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120821000136

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • 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 to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 95816 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $140.46
  • Minimum New Patient Price $61.52
  • Maximum New Patient Price $185.29
  • Average New Patient Copayment $35.11
  • Minimum New Patient Copayment $15.38
  • Maximum New Patient Copayment $46.32

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $109.06
  • Minimum Established Patient Price $19.52
  • Maximum Established Patient Price $151.94
  • Average Established Patient Copayment $27.26
  • Minimum Established Patient Copayment $4.88
  • Maximum Established Patient Copayment $37.98

* The physician office visit costs information is generated by 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 CMS 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.

  • Final Score: 99.68 out of 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.

  • Quality Score: 99.43

    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.

  • Promoting Interoperability Score: 100

    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.

  • Improvement Activities Score: 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 activities measure category compromises 15% providers final MPIS scores.

    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.

  • Cost Score: 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.

  • Cost Score: 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.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Chronic Care and Preventative Care Management for Empaneled PatientsYesN/A
Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • 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 condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use 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.
Closing the Referral Loop: Receipt of Specialist Report 81% 26
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% 812
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 94% 994
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Immunization Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
Implementation of medication management practice improvementsYesN/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/or Conduct periodic, structured medication reviews.
Measurement and Improvement at the Practice and Panel LevelYesN/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.
Medication Reconciliation 100% 201
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 81% 432
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Pneumococcal Vaccination Status for Older Adults 80% 127
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 87% 421
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 encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 90% 216
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 Patient Access 99% 432
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 100% 432
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
Security Risk AnalysisYesN/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 EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Specialized Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.
Use of decision support and standardized treatment protocolsYesN/A
Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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 Overall Rating
MERCY GENERAL HOSPITAL4001 J ST
SACRAMENTO, CA 95819
(916) 453-4453Acute Care Hospitals
SUTTER MEDICAL CENTER, SACRAMENTO2825 CAPITOL AVENUE
SACRAMENTO, CA 95816
(916) 733-8999Acute Care Hospitals
SUTTER ROSEVILLE MEDICAL CENTERONE MEDICAL PLAZA
ROSEVILLE, CA 95661
(916) 781-1000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003001645
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200300268
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 2 + 6 + 8 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1003001645 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 19 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
1831127570DR. 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
1255359378PULMONARY MEDICINE ASSOCIATES SLEEP LAB INC.
Organization
Clinic/Center (Sleep Disorder Diagnostic)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1558385997DR. KAPIL DHAWAN M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1093912958DR. SAMAN HAYATDAVOUDI M.D.
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1750561452DR. BRADLEY WAYNE SCHROEDER MD, PHD
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1356506372DR. BRETT RYAN LAURENCE MD
Individual
Internal Medicine (Infectious Disease)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040
1063731966DR. NATHANIEL GORDON MD
Individual
Internal Medicine (Critical Care Medicine)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
1831456086DR. 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
1417184078DR. RAVNEET RIAR M.D.
Individual
Internal Medicine (Pulmonary Disease)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 679-3590
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
1083265565 RAJWINDER KAUR FNP
Individual
Nurse Practitioner (Family)1508 ALHAMBRA BLVD STE 200
SACRAMENTO, CA 95816
(916) 325-1040

Frequently Asked Questions

What is Vinod Trivedi MD NPI number?

The NPI number assigned to this healthcare provider is 1003001645, enumerated in the NPI registry as an "individual" on September 06, 2007

Where is the provider located?

The provider is located at 1508 Alhambra Blvd Ste 200 Sacramento, Ca 95816 and the phone number is (916) 325-1040

What is the provider specialty code?

The provider's speciality is Internal Medicine with taxonomy code 207RI0200X with a focus in Infectious Disease

How many years of experience does Vinod Trivedi MD have?

The provider has more than 29 years of experience.

Is Vinod Trivedi MD registered in PECOS?

Yes, as of February 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.

What are Vinod Trivedi MD Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

How much is a visit to Vinod Trivedi MD?

Medicare beneficiaries should expect a typical cost of $140.46 with an average copayment of $35.11 for new patient appointments. Established patients should expect a typical charge of $109.06 and an average copayment of 27.26. Please review your insurance plan or contact the provider directly to determine your specific costs.

Is Vinod Trivedi MD affiliated to any hospitals?

The practitioner is affiliated to the following hospital(s): MERCY GENERAL HOSPITAL, SUTTER MEDICAL CENTER, SACRAMENTO and SUTTER ROSEVILLE MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

This NPI record was last updated on September 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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