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DR. NEERAJ TRIPATHY MD
NPI 1972660975
Internal Medicine in Secane, PA

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment
925 PROVIDENCE RD, SECANE, PA 19018(610) 394-1234(610) 284-4811 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, May 19, 2021, Nov 5, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Neeraj Tripathy Md NPPES

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

DR. NEERAJ TRIPATHY MD (NPI 1972660975) is an individual internal medicine provider in Secane, Pennsylvania, licensed in Pennsylvania (MD0548113L) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald, and maintains a secondary practice location in Ridley Park.

NPPES Registry Identity

NPI1972660975
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. NEERAJ TRIPATHYCredential: MD
Location Address925 PROVIDENCE RDSecane, PA 19018-2920
Mailing Address41 University Dr Ste 106Newtown, PA 18940-1873
Phone(610) 394-1234
Fax(610) 284-4811
Sole ProprietorYes
Medical School CMSOtherGraduated 1981
Enumeration DateJanuary 2, 2007
Last NPPES UpdateJuly 21, 20224 updates tracked since enumeration
NPPES CertifiedMay 19, 2021
✔ NPI 1972660975 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD0548113L
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.
925 PROVIDENCE RD, Secane, PA 19018
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Secondary Practice Location 1

Location 1103 E Ridley AveRidley Park, PA 19078-3025 · Phone (610) 328-3503 · Fax (610) 328-6152

Accepted Insurance

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

Dr. Neeraj Tripathy 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 ID1254500143
PECOS Enrollment IDI20110810000446
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Neeraj Tripathy reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trinity Health Mid-Atlantic Medical Group
Same address
Family Medicine
925 PROVIDENCE RD STE 8/9
Secane, PA 19018
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 646 clinicians in this Medicare group
NPI 1285158105 (610) 394-1234
Mercy Catholic Medical Center Of Southeastern PA
1.9 mi
Family Medicine
1503 LANSDOWNE AVE STE 2000
Darby, PA 19023
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 45 clinicians in this Medicare group
NPI 1932180205 (610) 237-2529
Gurpreet Kochar MD PC
2.9 mi
Specialist
101 DUTTON ST
Ridley Park, PA 19078
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3 clinicians in this Medicare group
NPI 1710080783 (610) 521-8450

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

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.
397 services249 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
173 services173 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
131 services111 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
77 services76 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
66 services66 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
31 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Mercy Catholic Medical Center- Mercy Fitzgerald

Acute Care Hospitals · Darby, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390156
Location1500 Lansdowne AveDarby, PA 19023 · Delaware County
Emergency services

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19018 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
20 suppliers60 claims121 services$5.66 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers28 claims28 services$0.97 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
3 suppliers26 claims26 services$3.38 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 suppliers13 claims13 services$57.08 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$28.61 avg. paid by Medicare
Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
7 suppliers25 claims5,810 services$0.02 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 3

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

EYE CAR OPTICAL CENTER
Non-Pharmacy Dispensing Site
925 PROVIDENCE RD
SECANE, PA 19018
Delaware County (610) 622-0310
GUIDO SCARAFONE BS
Pharmacist
925 PROVIDENCE RD
SECANE, PA 19018
Delaware County (610) 284-3270
DR. FARANAK DABIR MD
Internal Medicine
925 PROVIDENCE RD, SUITE 8/9
SECANE, PA 19018
Delaware County (610) 394-1234

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 Neeraj Tripathy's NPI number?

The NPI number for Neeraj Tripathy is 1972660975. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Where is Neeraj Tripathy located?

Neeraj Tripathy practices at 925 Providence Rd, Secane, PA 19018. The listed phone number is (610) 394-1234.

What is Neeraj Tripathy's specialty?

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

Is Neeraj Tripathy enrolled in Medicare?

Yes. Neeraj Tripathy 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 Neeraj Tripathy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neeraj Tripathy reassigns Medicare benefits to 3 organizations: Trinity Health Mid-Atlantic Medical Group (Secane, PA), Mercy Catholic Medical Center Of Southeastern PA (Darby, PA) and Gurpreet Kochar MD PC (Ridley Park, PA). 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 Neeraj Tripathy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Neeraj Tripathy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Neeraj Tripathy 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 Neeraj Tripathy affiliated with any hospitals?

According to CMS data, Neeraj Tripathy is affiliated with Mercy Catholic Medical Center- Mercy Fitzgerald and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Neeraj Tripathy was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.