DR. KARTIKEYA TRIPATHI M.D.
NPI 1003269200
Internal Medicine - Gastroenterology in Quincy, IL

Q: What is Kartikeya Tripathi's NPI number?

The NPI number for Kartikeya Tripathi is 1003269200. It was assigned to this individual provider in the NPPES registry on July 22, 2016.

Q: What is Kartikeya Tripathi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Active since July 22, 2016PECOS EnrolledAccepts Medicare Assignment

1118 HAMPSHIRE ST, QUINCY, IL 62301(217) 222-6550 Get Directions Write a Review

NPPES record last updated: August 4, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Kartikeya Tripathi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. KARTIKEYA TRIPATHI M.D. (NPI 1003269200) is an individual gastroenterology provider in Quincy, Illinois, licensed in Illinois (036158697) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, is affiliated with Blessing Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1003269200

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. KARTIKEYA TRIPATHICredential: M.D.

Location Address1118 HAMPSHIRE STQuincy, IL 62301-3027

Mailing Address1025 Maine StQuincy, IL 62301-4096 · (217) 222-6550

Phone(217) 222-6550

Sole ProprietorYes

Medical School CMSOtherGraduated 2012

Enumeration DateJuly 22, 2016

Last NPPES UpdateAugust 4, 2022

NPPES CertifiedAugust 4, 2022

✔ NPI 1003269200 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in IL · 036158697

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

1118 HAMPSHIRE ST, Quincy, IL 62301

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kartikeya Tripathi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365720919

PECOS Enrollment IDI20220721000166, I20250616001321

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Kartikeya Tripathi reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Quincy Physicians & Surgeons Clinic, PLLC

0.1 mi

Clinic/Center

1025 MAINE ST
Quincy, IL 62301

Reassigned Medicare billing, Illinois enrollment
252 clinicians in this Medicare group

NPI 1548234198 (217) 222-6550

Pike County Memorial Hospital

38 mi

Rural Health

2305 GEORGIA ST
Louisiana, MO 63353

Reassigned Medicare billing, Missouri enrollment
Also billed through NPI 1205837218 (Missouri)
28 clinicians in this Medicare group

NPI 1437265311 (573) 754-4584

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

177 services135 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

149 services149 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

68 services68 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

56 services56 patients

Insertion of guide wire with dilation of esophagus using a flexible endoscope 43248

This is a procedure where a thin tube, called an endoscope, is gently passed through your mouth into your esophagus. A guide wire is then inserted to help widen any narrow areas. This helps improve swallowing and reduce discomfort.

50 services45 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

43 services42 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Blessing Hospital

Acute Care Hospitals · Quincy, IL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140015

Location1005 Broadway StQuincy, IL 62301 · Adams County

Emergency services Birthing friendly

Memorial Hospital

Critical Access Hospitals · Carthage, IL

OwnershipVoluntary non-profit - Private

CMS Certification Number141305

Location1454 N County Road 2050 ECarthage, IL 62321 · Hancock County

Emergency services

Pike County Memorial Hospital

Critical Access Hospitals · Louisiana, MO

OwnershipGovernment - Local

CMS Certification Number261333

Location2305 West Georgia StreetLouisiana, MO 63353 · Pike County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62301 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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