TRI-STATE COLORECTAL GROUP, LLC
NPI 1083130751
Colon & Rectal Surgery in Evansville, IN
About Tri-state Colorectal Group, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TRI-STATE COLORECTAL GROUP, LLC (NPI 1083130751) is a healthcare organization registered as a colon & rectal surgery in Evansville, Indiana and active in the NPI registry since August 2017. The organization lists Deane L Smith, Partner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tri-state Colorectal Group, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Tri-State Colorectal Group, LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tri-State Colorectal Group, LLC's NPI number?
The NPI number for Tri-State Colorectal Group, LLC is 1083130751. It was assigned to this organization in the NPPES registry on August 15, 2017.
Where is Tri-State Colorectal Group, LLC located?
Tri-State Colorectal Group, LLC is located at 950 S Kenmore Dr Ste B, Evansville, IN 47714. The listed phone number is (812) 301-8110.
What is Tri-State Colorectal Group, LLC's specialty?
The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.
Is Tri-State Colorectal Group, LLC enrolled in Medicare?
Yes. Tri-State Colorectal Group, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Tri-State Colorectal Group, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Tri-State Colorectal Group, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Colorectal Surgery (Proctology) (4) and Nurse Practitioner (1). Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tri-State Colorectal Group, LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Anthem Blue Cross and Blue Shield list Tri-State Colorectal Group, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tri-State Colorectal Group, LLC was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tri-State Colorectal Group, Llc · NPI 1083130751
Colon & Rectal Surgery organization in Evansville, Indiana. Organization record, active in the CMS NPPES registry since August 15, 2017.
## Identity
- **NPI:** 1083130751 (Entity type: Organization)
- **Enumerated:** August 15, 2017
- **Primary specialty:** Colon & Rectal Surgery · taxonomy 208C00000X
- **Organization subpart:** No
- **Authorized official:** Deane Smith, PARTNER
## Practice location
- **Address:** 950 S KENMORE DR STE B, Evansville, IN 47714-7513
- **Phone:** (812) 301-8110 · **Fax:** (812) 401-4001
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Colorectal Surgery (Proctology) (4), Nurse Practitioner (1); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 25, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1083130751) · Data from the CMS NPPES public registry.