The invention discloses a synchronous grouting pre-stressed pipe pile. The synchronous grouting pre-stressed pipe pile comprises a pile driver, a pile hammer, a grouting outer pipe, a first pipe pile,a second pipe pile and a grouting structure, wherein the grouting outer pipe is of a hollow structure, two ends of which are communicated; the lower end of the first pipe pile is located in the grouting outer pipe; the grouting structure comprises a support frame, a slurry separation chamber, a slurry-out branch pipe, a pipeline connector, a slurry-out pipe, a second slurry-in pipe and a first slurry-in pipe; a first positioning seat is mounted at the upper end of the first pipe pile; and a second positioning seat is mounted at the lower end of the second pipe pile. The synchronous grouting pre-stressed pipe pile has the advantages that an inner/outer synchronous grouting manner is adopted, so that plenty of slurry is poured to the inner and outer parts of the pipe piles so as to improvethe pipe pile fixing effect, and the first positioning seat is matched with the second positioning seat to ensure that the butt joint between the pipe piles is more convenient and higher in accuracy.