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Prashant Tripathi

Family Medicine in Bangor, ME. Individual provider (NPI-1).

NPI number1194353060
StatusActive
Last updated in NPPESJan 19, 2026

Details

NPI
1194353060
Entity type
Individual (NPI-1)
Name
Prashant Tripathi
Sex
Male
Sole proprietor
No
Enumeration date
Mar 27, 2020
Certification date
Jan 19, 2026
Last updated
Jan 19, 2026

Medicare and OIG

Medicare enrolled (PECOS)
Yes · PRACTITIONER - FAMILY PRACTICE
Can order and refer
Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family MedicineMD26255MEYes

Practice location

489 State St
Bangor, ME 04401-6616

Phone 207-973-6676 · Fax 207-973-4441

Mailing address

43 Whiting Hill Rd Ste 300
Brewer, ME 04412-1006

Phone 207-973-5000 · Fax 207-973-5042

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other Family Medicine Physician providers in Bangor, ME

All 95 Family Medicine Physician providers in Bangor · All 3,717 providers in Bangor

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