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PRIYAM VADA TRIPATHI M.D.
NPI 1235498361
Internal Medicine - Gastroenterology in Los Angeles, CA

Active since May 09, 2012PECOS EnrolledAccepts Medicare Assignment
86.1/100
CMS Quality Rating
200 MED PLAZA, SUITE 420, 365, 120, LOS ANGELES, CA 90045(310) 855-7002 Get Directions Write a Review

NPPES record last updated: August 2, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Priyam Vada Tripathi M.d. NPPES

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

PRIYAM VADA TRIPATHI M.D. (NPI 1235498361) is an individual gastroenterology provider in Los Angeles, California, licensed in California (A137372) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Cleveland, and is a graduate of Rush Medical College Of Rush University (2012).

NPPES Registry Identity

NPI1235498361
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NamePRIYAM VADA TRIPATHICredential: M.D.
Location Address200 MED PLAZA, SUITE 420, 365, 120Los Angeles, CA 90045-5631
Mailing Address5767 W Century Blvd Ste 400Los Angeles, CA 90045-5631 · (310) 301-8707 · Fax (310) 301-8751
Phone(310) 855-7002
Sole ProprietorNo
Medical School CMSRush Medical College Of Rush UniversityGraduated 2012
Enumeration DateMay 9, 2012
Last NPPES UpdateAugust 2, 2018
✔ NPI 1235498361 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in CA · A137372
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
200 MED PLAZA, Los Angeles, CA 90045
Open in Google Maps ↗

Secondary Practice Location 1

Location 111100 Euclid AveCleveland, OH 44106-1716 · Phone (216) 844-8447

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

Priyam Vada 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 ID1456668490
PECOS Enrollment IDI20180702001329
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 13

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.
120 services81 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
67 services67 patients
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.
58 services39 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.
57 services56 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.
56 services56 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.
54 services54 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90045 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

86.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost66.73

Other Providers at the Same Location NPPES 3

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

JOHN SHEN M.D.
Internal Medicine (Hematology & Oncology)
200 MED PLAZA, # 365,420,120
LOS ANGELES, CA 90045
Los Angeles County (818) 995-8044
DR. ADARSH THAKER M.D.
Internal Medicine (Gastroenterology)
200 MED PLAZA, SUITE 365, 420, 120
LOS ANGELES, CA 90045
Los Angeles County (310) 267-3636
ANUM SYED
Hospitalist
200 MED PLAZA, #365,420,120
LOS ANGELES, CA 90045
Los Angeles County (310) 319-4698

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 Priyam Tripathi's NPI number?

The NPI number for Priyam Tripathi is 1235498361. It was assigned to this individual provider in the NPPES registry on May 9, 2012.

Where is Priyam Tripathi located?

Priyam Tripathi practices at 200 Med Plaza Suite 420, 365, 120, Los Angeles, CA 90045. The listed phone number is (310) 855-7002.

What is Priyam Tripathi's specialty?

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

Is Priyam Tripathi enrolled in Medicare?

Yes. Priyam 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.

When was this NPI record last updated?

The NPPES record for Priyam Tripathi was last updated on August 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.