PRAGYA PRIYADARSHINI TRIPATHI MD
NPI 1124313846
Hospitalist in Renton, WA

Active since June 10, 2011PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
275 BRONSON WAY NE, RENTON, WA 98056(425) 235-2800(425) 235-2815 Get Directions Write a Review

NPPES record last updated: May 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 18, 2021, Aug 11, 2020 (2 updates tracked since 2020).

About Pragya Priyadarshini Tripathi Md NPPES

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

PRAGYA PRIYADARSHINI TRIPATHI MD (NPI 1124313846) is an individual hospitalist provider in Renton, Washington, licensed in Washington (MD60895496) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and maintains a secondary practice location in Rogers.

NPPES Registry Identity

NPI1124313846
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NamePRAGYA PRIYADARSHINI TRIPATHICredential: MD
Location Address275 BRONSON WAY NERenton, WA 98056-4030
Mailing Address275 Bronson Way NeRenton, WA 98056-4030 · (425) 235-2800 · Fax (425) 235-2815
Fax(425) 235-2815
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 10, 2011
Last NPPES UpdateMay 18, 20212 updates tracked since enumeration
NPPES CertifiedMay 18, 2021
NPI 1124313846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in WA · MD60895496 Licensed in AR · E-8820
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
275 BRONSON WAY NE, Renton, WA 98056

Secondary Practice Location 1

Location 12710 S Rife Medical LnRogers, AR 72758-1452 · Phone (479) 338-8000 · Fax (479) 338-2906

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Pragya Priyadarshini 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.

PECOS PAC ID1557580859
PECOS Enrollment IDI20190403003031
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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
479 services191 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
102 services102 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
50 services49 patients

Hospital Affiliations CMS Care Compare

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

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98056 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
$143.76 typical visit price
range $63.67 – $189.37
Typical copayment $35.94 (range $15.91 – $47.34)
Most-billed visit code 99204
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

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.

Family Medicine
275 BRONSON WAY NE
RENTON, WA 98056
Physician Assistant (Medical)
275 BRONSON WAY NE
RENTON, WA 98056
Internal Medicine
275 BRONSON WAY NE
RENTON, WA 98056
Physical Therapist
275 BRONSON WAY NE
RENTON, WA 98056
Dietitian, Registered
275 BRONSON WAY NE
RENTON, WA 98056
Pediatrics
275 BRONSON WAY NE
RENTON, WA 98056
Social Worker (Clinical)
275 BRONSON WAY NE
RENTON, WA 98056
Clinic/Center (Multi-Specialty)
275 BRONSON WAY NE
RENTON, WA 98056

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 Pragya Tripathi's NPI number?

The NPI number for Pragya Tripathi is 1124313846. It was assigned to this individual provider in the NPPES registry on June 10, 2011.

Where is Pragya Tripathi located?

Pragya Tripathi practices at 275 Bronson Way NE, Renton, WA 98056. The listed phone number is (425) 235-2800.

What is Pragya Tripathi's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Pragya Tripathi enrolled in Medicare?

Yes. Pragya 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.

What insurance does Pragya Tripathi accept?

Health plans from Providence Health Plan list Pragya 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 Pragya Tripathi affiliated with any hospitals?

According to CMS data, Pragya Tripathi is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Pragya Tripathi was last updated on May 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.