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DR. HARSHA TRIPATHI MD
NPI 1194735969
Internal Medicine in Plainfield, NJ

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment
1700 MYRTLE AVE, PLAINFIELD, NJ 07063(908) 753-6401(908) 226-6743 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Harsha Tripathi Md NPPES

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

DR. HARSHA TRIPATHI MD (NPI 1194735969) is an individual internal medicine provider in Plainfield, New Jersey, licensed in New Jersey (MA5775700) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1973).

NPPES Registry Identity

NPI1194735969
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. HARSHA TRIPATHICredential: MD
Location Address1700 MYRTLE AVEPlainfield, NJ 07063-1000
Mailing Address1700 Myrtle AvePlainfield, NJ 07063-1000 · (908) 753-6401 · Fax (908) 226-6743
Phone(908) 753-6401
Fax(908) 226-6743
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateAugust 8, 2006
Last NPPES UpdateFebruary 21, 2013
✔ NPI 1194735969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA5775700
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1700 MYRTLE AVE, Plainfield, NJ 07063
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Other Identifiers 3

Medicaid6392709NJ
Medicare ID-Type Unspecified742907DVZNJ
OtherMA5775700NJ · Medical License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Dr. Harsha 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 ID7911942545
PECOS Enrollment IDI20050624000071
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07063 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
24%329 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
3%124 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
64%818 patients3/55-star benchmark: 97%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

MS. KATHRYN L MCELROY CNM
Midwife
1700 MYRTLE AVE, 58
PLAINFIELD, NJ 07063
Union County (908) 753-6401
NNEKA EMEKEKWUE
Dentist
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
Union County (908) 753-6401
DR. TEJAL RANA O.D
Optometrist
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
Union County (908) 753-6401
GOVIDAMMAL SUBRAMANIAN MD
Pediatrics
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
Union County (908) 753-6401
LAURA MARTIN
Advanced Practice Midwife
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
Union County (908) 753-6401
DR. SUSAN WALSH MD
Internal Medicine
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
Union County (908) 753-6401
JENNEH A. MUSTAPHA CPNP
Registered Nurse (Pediatrics)
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
Union County (908) 753-6401
MARIETA JONES CMN
Midwife
1700 MYRTLE AVE
PLAINFIELD, NJ 07063
Union County (908) 753-6401

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 Harsha Tripathi's NPI number?

The NPI number for Harsha Tripathi is 1194735969. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Harsha Tripathi located?

Harsha Tripathi practices at 1700 Myrtle Ave, Plainfield, NJ 07063. The listed phone number is (908) 753-6401.

What is Harsha Tripathi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Harsha Tripathi enrolled in Medicare?

Yes. Harsha 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 Harsha Tripathi accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Harsha 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.

When was this NPI record last updated?

The NPPES record for Harsha Tripathi was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.