DR. KARTIKEYA TRIPATHI (M.D.) – Internal Medicine Physician, NPI 1003269200

DR. KARTIKEYA TRIPATHI (M.D.) is a healthcare provider. based in Worcester, Massachusetts. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 036158697 (IL). The NPI Number for DR. KARTIKEYA TRIPATHI (M.D.) is 1003269200

Main info

Male
Sole Proprietor
14 Years Of Experience
Accepts Medicare Assignment
Name
DR. KARTIKEYA TRIPATHI (M.D.)
NPI
1003269200
Phone
(508) 363-6208
Address
123 SUMMER ST
Enumeration Date
22 July 2016
Last Update Date
4 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2012 (14 years ago)
PAC ID
2365720919
Group Practice PAC ID
8123015518
Professional Enrollment ID
I20220721000166
Address ID
MO633532559LO2305XGEOR300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience47
Completeness75
Years active:9State licenses:1Digital endpointsOther names

828 GASTROENTEROLOGY in MA

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Provider Addresses for DR. KARTIKEYA TRIPATHI (M.D.)

  • Saint Vincent Hospital at Worcester Medical Center, 123, Summer Street, Lincoln Square, Belmont Hill, Worcester, Worcester County, Massachusetts, 01608, United States

    WORCESTER, MA 016081216

    Phone: (508) 363-6208

    Type: Mailing

  • 1025 MAINE ST

    QUINCY, IL 623014096

    Phone: (217) 222-6550

    Type: Mailing

  • 1118 HAMPSHIRE ST

    QUINCY, IL 623013027

    Phone: (217) 222-6550

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 50 Open Payments records for all available years, with a total value of $992.

Total Amount is formed as General ($992) + Research ($0) + Ownership ($0) = $992.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: ABBVIE INC. ($475).

Total Amount

$992

General + Research + Ownership

Payments

50

Total payment records

General Amount

$992

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220721000166IGastroenterologyILTBD
I20250616001321IGastroenterologyMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes162133$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare149147$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope7970$0
99204New patient office or other outpatient visit, 45-59 minutes7171$0
G0105Colorectal cancer screening; colonoscopy on individual at high risk6060$0
View full utilization report →

Insurance plans in this area (ZIP 01608)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8123015518View full group profile
NameSpecialtyState
N E U R O L O G YIL
-FL
Family PracticeMO
R H E U M A T O L O G YIL
U R O L O G YIL
Pain Management, Anesthesiology, Anesthesiology, Pain ManagementMO
Nurse PractitionerMI
Orthopedic SurgeryMO
P O D I A T R YIL
Clinical Social WorkerMO

Reviews

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Frequently asked questions

How do payers reference DR. KARTIKEYA TRIPATHI (M.D.)?
For DR. KARTIKEYA TRIPATHI (M.D.), use NPI 1003269200 as the unique 10-digit identifier.
Is DR. KARTIKEYA TRIPATHI (M.D.) still an active registrant?
DR. KARTIKEYA TRIPATHI (M.D.) carries an active NPI according to the public dataset.
How would a patient describe DR. KARTIKEYA TRIPATHI (M.D.)'s focus?
For DR. KARTIKEYA TRIPATHI (M.D.), the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. KARTIKEYA TRIPATHI (M.D.)?
Travel planning: use Worcester, Massachusetts as the reference point for DR. KARTIKEYA TRIPATHI (M.D.), then confirm.
Does DR. KARTIKEYA TRIPATHI (M.D.) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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