SANJAY P TRIPATHI MD
NPI 1417904236
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Bloomington, IN

Active since May 27, 2006PECOS EnrolledAccepts Medicare Assignment
77.17/100
CMS Quality Rating
2651 E DISCOVERY PKWY, BLOOMINGTON, IN 47408(812) 334-5081(812) 334-5091 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 3, 2024, Aug 15, 2024 (2 updates tracked since 2024).

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

NPI1417904236
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameSANJAY P TRIPATHICredential: MD
Location Address2651 E DISCOVERY PKWYBloomington, IN 47408-9059
Mailing Address250 N Shadeland AveIndianapolis, IN 46219-4959
Fax(812) 334-5091
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateMay 27, 2006
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
NPI 1417904236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
Licenses Licensed in IN · 01094033A Licensed in KS · 04-32222 Licensed in CO · 54328
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
Also ListedSurgeryTaxonomy 208600000X · License 01094033A (IN)
2651 E DISCOVERY PKWY, Bloomington, IN 47408

Secondary Practice Location 1

Location 1950 E. Harvard Ave, Suite 550Denver, CO 80210 · Phone (303) 778-6527 · Fax (303) 733-1288

Other Identifiers 2

Medicaid300095094IN
Other090540A30IN · Medicare Ptan

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

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.

PECOS PAC ID6608836150
PECOS Enrollment IDI20240823002550
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.

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, IN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150051
Location2651 East Discovery ParkwayBloomington, IN 47408 · Monroe County
Emergency services Birthing friendly

Indiana University Health Bedford Hospital

Critical Access Hospitals · Bedford, IN
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number151328
Location2900 W 16th StBedford, IN 47421 · Lawrence County
Emergency services

Physician 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.

New Patient
$161.76 typical visit price
range $53.07 – $161.76
Typical copayment $40.44 (range $13.26 – $40.44)
Most-billed visit code 99205
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
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.

77.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.27
Promoting Interoperability81
Improvement Activities40
Cost59.47

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.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$16.57 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers12 claims12 services$79.83 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Student in an Organized Health Care Education/Training Program
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Pathology (Anatomic Pathology & Clinical Pathology)
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Clinical Nurse Specialist
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Clinic/Center (Multi-Specialty)
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Nurse Practitioner (Gerontology)
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Physician Assistant
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Internal Medicine
2651 E DISCOVERY PKWY
BLOOMINGTON, IN 47408
Psychiatry & Neurology (Psychiatry)
2651 E DISCOVERY PKWY
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.

What insurance does Sanjay Tripathi accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, CareSource, McLaren Health Plan Community and Priority Health 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 22 months 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.