SANJAY P TRIPATHI MD
NPI 1417904236
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Bloomington, IN
About Sanjay P Tripathi Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SANJAY P TRIPATHI MD (NPI 1417904236) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in Bloomington, Indiana, licensed in Indiana (01094033A) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana University Health Bloomington Hospital, and maintains a secondary practice location in Denver.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 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
Sanjay P 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
5Medicare enrollment records show Sanjay Tripathi reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bloomington, IN 47408
- Reassigned Medicare billing, Indiana enrollment
- 783 clinicians in this Medicare group
Indianapolis, IN 46202
- Reassigned Medicare billing, Indiana enrollment
- 5,212 clinicians in this Medicare group
Brighton, MI 48116
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Henry Ford Health Providence Hospital
- 393 clinicians in this Medicare group
Chesaning, MI 48616
- Reassigned Medicare billing, Michigan enrollment
- 125 clinicians in this Medicare group
Englewood, CO 80113
- Reassigned Medicare billing, Colorado enrollment
- Medicare enrollment name: Colorado Cardiovascular Surgical Associates, P.C.
- 11 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 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Indiana University Health Bloomington Hospital
Acute Care Hospitals · Bloomington, INIndiana University Health Bedford Hospital
Critical Access Hospitals · Bedford, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 47408 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BLOOMINGTON, IN 47408
BLOOMINGTON, IN 47408
BLOOMINGTON, IN 47408
BLOOMINGTON, IN 47408
BLOOMINGTON, IN 47408
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 Sanjay Tripathi's NPI number?
The NPI number for Sanjay Tripathi is 1417904236. It was assigned to this individual provider in the NPPES registry on May 27, 2006.
Where is Sanjay Tripathi located?
Sanjay Tripathi practices at 2651 E Discovery Pkwy, Bloomington, IN 47408. The listed phone number is (812) 334-5081.
What is Sanjay Tripathi's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Sanjay Tripathi enrolled in Medicare?
Yes. Sanjay 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 Sanjay Tripathi's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sanjay Tripathi reassigns Medicare benefits to 5 organizations: Indiana University Health Southern Indiana Physicians, LLC (Bloomington, IN), Iu Health Medical Group, LLC (Indianapolis, IN), Ascension Providence Hosptial (Brighton, MI), Mymichigan Medical Center Saginaw (Chesaning, MI) and Colorado Cardiovascular Surgical Associates,inc. (Englewood, CO). 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 Sanjay Tripathi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Sanjay Tripathi accept?
Health plans from AmeriHealth Caritas Next, Anthem Blue Cross and Blue Shield, Priority Health and UnitedHealthcare list Sanjay 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 Sanjay Tripathi affiliated with any hospitals?
According to CMS data, Sanjay Tripathi is affiliated with Indiana University Health Bloomington Hospital and Indiana University Health Bedford Hospital.
When was this NPI record last updated?
The NPPES record for Sanjay Tripathi was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Sanjay P Tripathi, MD · NPI 1417904236
Thoracic Surgery (Cardiothoracic Vascular Surgery) physician in Bloomington, Indiana. Individual provider, active in the CMS NPPES registry since May 27, 2006.
## Identity
- **NPI:** 1417904236 (Entity type: Individual)
- **Enumerated:** May 27, 2006
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **State license:** 01094033A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2651 E DISCOVERY PKWY, Bloomington, IN 47408-9059
- **Phone:** (812) 334-5081 · **Fax:** (812) 334-5091
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Indiana University Health Southern Indiana Physicians, LLC (NPI 1013953983, Bloomington, IN); Iu Health Medical Group, LLC (NPI 1326893777, Indianapolis, IN); Ascension Providence Hosptial (NPI 1053684647, Brighton, MI); Mymichigan Medical Center Saginaw (NPI 1427112101, Chesaning, MI); Colorado Cardiovascular Surgical Associates,inc. (NPI 1013963503, Englewood, CO) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** October 3, 2024
- **Other identifiers:** Medicaid 300095094 (IN); Other 090540A30 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1417904236) · Data from the CMS NPPES public registry.