TRI-STATE GASTROENTEROLOGY ASSOCIATES PSC NPI 1487651956

NPI Information

  • NPI: 1487651956
  • Provider Name: TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Doing Business As: TRI-STATE DIGESTIVE DISORDER CENTER
  • CLIA Number: 18D0324174
  • Address: 425 CENTRE VIEW BLVD
    CRESTVIEW HILLS, KY
    ZIP 41017
  • Phone: (859) 341-3575

Map and Directions

Get Directions

NPI Details

TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC is an ambulatory surgical clinic center in Crestview Hills, KY. TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC NPI is 1487651956. The provider is registered as an organization entity type.
The provider Is Doing Business As Tri-state Digestive Disorder Center.

The provider's business location address is:

425 CENTRE VIEW BLVD
CRESTVIEW HILLS, KY
ZIP 41017-409
Phone: (859) 341-3575
Fax: (859) 341-5702

The provider's authorized official is Daniel G Fagel .
The authorized official title is President and has the following contact phone number (859) 341-3575.

The CLIA number assigned to this NPI record is 18D0324174 - ancillary testing site in health care center with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Dilation of esophagus (HCPCS:43450)
  • Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Ultrasound guided needle aspiration or biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43242)

The enumeration date for this NPI number is 6/30/2005 and was last updated on 1/13/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical300096KENTUCKYYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1490002071OTHERMEDICARE RAILROAD
2=========-01OTHEROHIOOH BWC
3200354210AMEDICAIDINDIANA
4000000003071OTHERANTHEM
5=========021OTHERMEDICAL MUTUAL OF OHIO
6ASC0020MEDICARE PINKENTUCKY
77100169710MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.