TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC
NPI 1306843842
Clinic/Center in Crestview Hills, KY
NPI Status: Active since June 30, 2005
Contact Information
425 CENTRE VIEW BLVD
CRESTVIEW HILLS, KY
ZIP 41017
Phone: (859) 341-3575
Fax: (859) 341-5701
- Organization
- Clinic/Center
- Accepts Insurance
- CLIA Number: 18D0324174
- CLIA Cert. Type: Ancillary Testing Site in Health Care Center
- CLIA Exp. Date: 11-15-2026
About TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC
This page provides the complete NPI Profile along with additional information for Tri-state Gastroenterology Associates, Psc, a provider established in Crestview Hills, Kentucky operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1306843842 assigned on June 2005. The practitioner's primary taxonomy code is 261Q00000X. The provider is registered as an organization and their NPI record was last updated 12 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Daniel G Fagel M.d. (President)
- NPI
- 1306843842
- Provider Name
- TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC
- Entity Type
- Organization
- Location Address
- 425 CENTRE VIEW BLVD CRESTVIEW HILLS, KY 41017
- Location Phone
- (859) 341-3575
- Location Fax
- (859) 341-5701
- Mailing Address
- 425 CENTRE VIEW BLVD CRESTVIEW HILLS, KY 41017
- Mailing Phone
- (859) 341-3575
- Mailing Fax
- (859) 341-5701
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 06-30-2005
- Last Update Date
- 10-07-2014
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 2 | 207RG0100X | Allopathic & Osteopathic Physicians | Internal Medicine | |
| 3 | 363A00000X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options - EPO
- Enhanced Diabetes Care Silver with $0 Drug Options + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7100179230 | OTHER (01) | KY | KY MEDICAID PA GROUP |
| 200354220 | MEDICAID (05) | IN | |
| CM0475 | OTHER (01) | MEDICARE RAILROAD | |
| 6591623100 | MEDICAID (05) | KY | |
| 000000032466 | OTHER (01) | ANTHEM | |
| 78901550 | OTHER (01) | KY | KY MEDICAID NP GROUP |
| 0835841 | MEDICAID (05) | OH | |
| 3491 | MEDICARE PIN (08) | KY |
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 18D0324174
- Facility Type
- Ancillary Testing Site in Health Care Center
- Certificate Effective Date
- November 16, 2024
- Certificate Expiration Date
- November 15, 2026
- Laboratory Director
- DR. STEPHEN C. ELIASON
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Tri-state Gastroenterology Associates, Psc after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1306843842, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 68 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
CRESTVIEW HILLS, KY 41017
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1306843842, enumerated as an "organization" on June 30, 2005.
The provider is located at 425 CENTRE VIEW BLVD CRESTVIEW HILLS, KY 41017 and the phone number is (859) 341-3575.
Clinic/Center with taxonomy code 261Q00000X.
The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.
