Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Tripti Kumar

Pathology - Anatomic Pathology & Clinical Pathology • Chicago, IL

Active NPI 1790191278 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

5841 S Maryland Ave
Chicago, IL 60637

Call 7738347708 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5841 S Maryland Ave

Chicago, IL 60637

Telephone 7738347708
Organization at the Same NPPES Address or Phone
University Of Chicago Facility NPI 1821048786

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Troy, MI. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

CMS Doctors and Clinicians lists 1 group name: Michigan Diagnostic Pathologists Pllc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Medical School

Michigan State University College Of Osteopathic Medicine

Graduation Year

2014

Medicare patients

537 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $53,346 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $42,303 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

Years since graduation

12 years (graduated 2014)

CMS Doctors and Clinicians data list 2014 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2014

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Tripti Kumar has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Tripti Kumar as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Chicago and Illinois

Billing and prescribing volume is not a quality rating.

Medicare Part B services

More Medicare Part B services than 60% of clinicians listed under Pathology - Anatomic Pathology & Clinical Pathology in Chicago, IL (2024, 123 clinicians with data). Median for this group: 1,133. Middle half: 497 to 2,475.

Close to the middle for clinicians listed under Pathology - Anatomic Pathology & Clinical Pathology in Illinois (2024, 371 clinicians with data). Median for this group: 1,742. Middle half: 890 to 2,959.

Medicare-allowed amount

Close to the middle for clinicians listed under Pathology - Anatomic Pathology & Clinical Pathology in Chicago, IL (2024, 123 clinicians with data). Median for this group: $42,212. Middle half: $18,650 to $82,431.

Close to the middle for clinicians listed under Pathology - Anatomic Pathology & Clinical Pathology in Illinois (2024, 371 clinicians with data). Median for this group: $62,956. Middle half: $32,303 to $105,328.

Paid by Medicare

Close to the middle for clinicians listed under Pathology - Anatomic Pathology & Clinical Pathology in Chicago, IL (2024, 123 clinicians with data). Median for this group: $33,533. Middle half: $14,636 to $64,770.

Close to the middle for clinicians listed under Pathology - Anatomic Pathology & Clinical Pathology in Illinois (2024, 371 clinicians with data). Median for this group: $48,586. Middle half: $25,030 to $81,974.

307 active clinicians are listed under Pathology - Anatomic Pathology & Clinical Pathology with a practice address in Chicago, IL (789 in Illinois).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Chicago

0% of these 307 clinicians have the CMS telehealth indicator.

42% of these 307 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2019–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2020–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
88305 Pathology examination of tissue using a microscope, intermediate complexity
697 396 $185.00 $36.04
88341 Special stained specimen slides to examine tissue, each additional procedure
379 77 $250.00 $26.93
88342 Special stained specimen slides to examine tissue, initial procedure
111 97 $250.00 $33.61
88307 Pathology examination of tissue using a microscope, moderately high complexity
71 59 $265.00 $78.64
88311 Preparation of tissue for examination by removing any calcium present
68 58 $47.00 $11.94
88304 Pathology examination of tissue using a microscope, moderately low complexity
63 62 $130.00 $11.24
88313 Special stained specimen slides to examine tissue including interpretation and report
53 33 $65.00 $11.67
88360 Microscopic genetic analysis of tumor, manual
47 26 $175.00 $39.78
88189 Flow cytometry technique for dna or cell analysis, 16 or more markers
30 29 $275.00 $81.91
85097 Bone marrow, smear interpretation
28 28 $146.00 $47.26
88312 Special stained specimen slides to identify organisms including interpretation and report
18 11 $70.00 $25.89
85060 Blood smear interpretation by physician with written report
17 17 $73.00 $23.25
88300 Pathology examination of tissue using a microscope, limited examination
12 12 $45.00 $4.58

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Specialties & License Numbers Reported to NPPES

Pathology - Anatomic Pathology & Clinical Pathology Primary Specialty

NUCC Taxonomy Code: 207ZP0102X

License # reported to NPPES MI 5101021019

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Illinois Department of Financial and Professional Regulation.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PATHOLOGY

Medicare Enrollment ID

I20200318000998

Enrollment State Jurisdiction

MI

PECOS Control ID

2769810142

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Michigan Diagnostic Pathologists Pllc

16001 W 9 Mile Rd, Southfield, MI 480754818

Phone: 2488495401

Secondary Practice Locations

3740 Edenderry Dr

Troy, MI 480835120

Phone: 2486897022

3740 Edenderry Dr

Troy, MI 480835120

Phone: 2486897022

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Dr. Bridget Banach , MD PHD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1205190576

MDPHD

Dr. Timothy Carll , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1063941102

Doctor of Medicine (M.D.)

Clarence Chan

Pathology - Clinical Pathology/Laboratory Medicine

NPI 1285173906
Dr. Shiraz Fidai , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1336554799

Doctor of Medicine (M.D.)

Dr. Katie Hall , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1114424066

Doctor of Medicine (M.D.)

Ryan Hunter

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1700406790

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

8 Historical Events
📍
Updated Practice Location June 26, 2019

Registered at 5841 S MARYLAND AVE, CHICAGO, IL 60637 (Tel: 7738347708)

📍
Updated Business Mailing Address June 26, 2019

Registered at 180 HARVESTER DR STE 110, BURR RIDGE, IL 605276686 (Tel: 7737021150)

✅
NPI Profile Active July 07, 2014

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) July 07, 2014

Registered at 3740 EDENDERRY DR, TROY, MI 480835120 (Tel: 2486897022)

📍
Business Mailing Address (Initial Record) July 07, 2014

Registered at 3740 EDENDERRY DR, TROY, MI 480835120

👤
Provider Name / Credentials (Initial Record) July 07, 2014

Recorded as TRIPTI KUMAR

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 07, 2014

Pathology (license number reported to NPPES: MI 5101021019)

🟢
Initial NPI Registration & Enumeration July 07, 2014

First registered as active Individual Practitioner in NPPES Database.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1790191278
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 07, 2014
Last Update: June 26, 2019
Sole Proprietor: No

Other Pathology - Anatomic Pathology & Clinical Pathology Specialists in Chicago

All Pathology - Anatomic Pathology & Clinical Pathology Specialists in Chicago

Mailing Address

180 Harvester Dr Ste 110

Burr Ridge, IL 605276686

Phone: 7737021150

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.