TRI-STATE HEALTH, INC.
NPI 1255409082
Specialist in Elkton, MD

Active since December 01, 2006CLIA Certified · 4 labs
107 N BRIDGE ST, ELKTON, MD 21921(410) 392-6408(410) 392-6409 Get Directions Write a Review

NPPES record last updated: February 5, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 5, 2024, Jul 19, 2019 (2 updates tracked since 2019).

About Tri-state Health, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRI-STATE HEALTH, INC. (NPI 1255409082) is a healthcare organization registered as a specialist in Elkton, Maryland and active in the NPI registry since December 2006. The organization holds 4 active CLIA laboratory certificates and lists Muhammed A Niaz, Owner, as its authorized official.

NPPES Registry Identity

NPI1255409082
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTRI-STATE HEALTH, INC.
Location Address107 N BRIDGE STElkton, MD 21921-5326
Mailing Address107 N Bridge StElkton, MD 21921-5326 · (410) 392-6408 · Fax (410) 392-4809
Fax(410) 392-6409
Organization SubpartNo
Authorized OfficialMuhammed A NiazOwner · (410) 392-6408
Enumeration DateDecember 1, 2006
Last NPPES UpdateFebruary 5, 20242 updates tracked since enumeration
NPPES CertifiedFebruary 5, 2024
✔ NPI 1255409082 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X
Also ListedNurse PractitionerTaxonomy 363L00000X
107 N BRIDGE ST, Elkton, MD 21921

Other Identifiers 1

Medicaid401409000MD

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Health, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

8

Medicare enrollment records show 8 clinicians reassign Medicare billing to Tri-State Health, Inc., which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.

Clinicians, nearest first (8)

Nurse Practitioner
NPI 1710635271
107 N BRIDGE ST
Elkton, MD 21921
(646) 571-7782
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1255338869
107 N BRIDGE ST
Elkton, MD 21921
(410) 392-6408
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1538702337
126A E HIGH ST
Elkton, MD 21921
(410) 398-8300
✔ PECOS✔ Accepts Medicare0.1 mi
Obstetrics/Gynecology
NPI 1295913838
300 E PULASKI HWY
Elkton, MD 21921
(410) 398-0590
✔ PECOS✔ Accepts Medicare1.0 mi
Internal Medicine
NPI 1306890611
677 E PULASKI HWY STE 1B
Elkton, MD 21921
(410) 398-0215
✔ PECOS✔ Accepts Medicare1.5 mi
Internal Medicine
NPI 1750671608
774 E PROVIDENCE RD C-402
Aldan, PA 19018
(603) 966-8534
✔ PECOS✔ Accepts Medicare37 mi
Mental Health Counselor
NPI 1790243244
1000 MIDWAY DR STE 3
Harrington, DE 19952
(302) 313-1140
✔ PECOS49 mi
Nurse Practitioner
NPI 1760920144
705 BUNCH AVE
Glen Burnie, MD 21060
(443) 938-6844
✔ PECOS✔ Accepts Medicare52 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA 4

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 21D2015629

Tri-State Health Inc · Elkton, MD
Active · expires Mar 27, 2028
CLIA Number21D2015629
Laboratory TypeIndependent
Certificate Effective DateMarch 28, 2026
Certificate Expiration DateMarch 27, 2028
Laboratory DirectorDr. Balu K. Chacko
Laboratory Phone(410) 392-6408
Laboratory LocationTri-State Health Inc107 N Bridge St, Elkton, MD 21921
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Certificate of Waiver 21D2188727

Tri-State Health, Inc · Colora, MD
Active · expires Jul 20, 2028
CLIA Number21D2188727
Laboratory TypePhysician Office
Certificate Effective DateJuly 21, 2026
Certificate Expiration DateJuly 20, 2028
Laboratory DirectorMuhammed Niaz
Laboratory Phone(410) 392-6408
Laboratory LocationTri-State Health, Inc2527 Jacob Tome Hwy, Colora, MD 21917
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2171021

Tri-State Health Inc · North East, MD
Active · expires Aug 22, 2027
CLIA Number21D2171021
Laboratory TypePhysician Office
Certificate Effective DateAugust 23, 2025
Certificate Expiration DateAugust 22, 2027
Laboratory DirectorDr. Muhammed A. Niaz
Laboratory Phone(410) 392-6408
Laboratory LocationTri-State Health Inc2288 Pulaski Hwy, North East, MD 21901
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 21D2279559

Tri-State Health, Inc · Elkton, MD
Active · expires Apr 3, 2027
CLIA Number21D2279559
Laboratory TypePhysician Office
Certificate Effective DateApril 4, 2025
Certificate Expiration DateApril 3, 2027
Laboratory DirectorDr. Muhammed A. Niaz
Laboratory Phone(410) 392-6408
Laboratory LocationTri-State Health, Inc218 E Pulaski Hwy #b, Elkton, MD 21921
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Health, Inc.'s NPI number?

The NPI number for Tri-State Health, Inc. is 1255409082. It was assigned to this organization in the NPPES registry on December 1, 2006.

Where is Tri-State Health, Inc. located?

Tri-State Health, Inc. is located at 107 N Bridge St, Elkton, MD 21921. The listed phone number is (410) 392-6408.

What is Tri-State Health, Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Tri-State Health, Inc. enrolled in Medicare?

Yes. Tri-State Health, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-State Health, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 4 Medicare specialties reassign their Medicare billing to Tri-State Health, Inc.. 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 Internal Medicine (3), Nurse Practitioner (3) and Mental Health Counselor (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tri-State Health, Inc. hold CLIA laboratory certificates?

Yes. 4 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Tri-State Health, Inc. accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Tri-State Health, Inc. 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 Health, Inc. was last updated on February 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.