NISHANT TRIPATHI MD
NPI 1043631070
Internal Medicine - Gastroenterology in Lutherville Timonium, MD
About Nishant Tripathi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NISHANT TRIPATHI MD (NPI 1043631070) is an individual gastroenterology provider in Lutherville Timonium, Maryland, licensed in Maryland (D0104952) and active in the NPI registry since December 2013. He is enrolled in Medicare PECOS, is affiliated with University Of Kentucky Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Locations 2
Accepted 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
Nishant Tripathi Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nishant Tripathi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Timonium, MD 21093
- Reassigned Medicare billing, Maryland, District of Columbia and Virginia enrollments
- Also billed through NPI 1942546486 (Maryland), NPI 1952461816 (District of Columbia), NPI 1578638425 (District of Columbia), NPI 1497023188 (District of Columbia), NPI 1366781700 (District of Columbia), NPI 1073678637 (District of Columbia), NPI 1225156367 (Virginia), NPI 1114677572 (Virginia)
- 428 clinicians in this Medicare group
Lexington, KY 40536
- Reassigned Medicare billing, Kentucky enrollment
- 1,761 clinicians in this Medicare group
Lexington, KY 40517
- Reassigned Medicare billing, Kentucky enrollment
- 1,502 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Kentucky Hospital
Acute Care Hospitals · Lexington, KYPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21093 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TIMONIUM, MD 21093
LUTHERVILLE TIMONIUM, MD 21093
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Nishant Tripathi's NPI number?
The NPI number for Nishant Tripathi is 1043631070. It was assigned to this individual provider in the NPPES registry on December 17, 2013.
Where is Nishant Tripathi located?
Nishant Tripathi practices at 2391 Greenspring Dr, Lutherville Timonium, MD 21093. The listed phone number is (410) 847-3000.
What is Nishant Tripathi's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Nishant Tripathi enrolled in Medicare?
Yes. Nishant Tripathi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for Nishant Tripathi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nishant Tripathi reassigns Medicare benefits to 3 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Timonium, MD), University Of Kentucky (Lexington, KY) and Kentucky Medical Services Foundation, Inc (Lexington, KY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nishant Tripathi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nishant Tripathi accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Medica list Nishant Tripathi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Nishant Tripathi affiliated with any hospitals?
According to CMS data, Nishant Tripathi is affiliated with University Of Kentucky Hospital.
When was this NPI record last updated?
The NPPES record for Nishant Tripathi was last updated on October 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Nishant Tripathi, MD · NPI 1043631070
Gastroenterology physician in Lutherville Timonium, Maryland. Individual provider, active in the CMS NPPES registry since December 17, 2013.
## Identity
- **NPI:** 1043631070 (Entity type: Individual)
- **Enumerated:** December 17, 2013
- **Primary specialty:** Internal Medicine - Gastroenterology · taxonomy 207RG0100X
- **State license:** D0104952 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 2391 GREENSPRING DR, Lutherville Timonium, MD 21093-3166
- **Phone:** (410) 847-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (NPI 1457023616, Timonium, MD); University Of Kentucky (NPI 1730225129, Lexington, KY); Kentucky Medical Services Foundation, Inc (NPI 1326091448, Lexington, KY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2009
## Record status
- **NPPES last updated:** October 19, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1043631070) · Data from the CMS NPPES public registry.