TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC
NPI 1306843842
Clinic/Center in Crestview Hills, KY

Active since June 30, 2005CLIA 18D0324174 · Certificate of Compliance
425 CENTRE VIEW BLVD, CRESTVIEW HILLS, KY 41017(859) 341-3575(859) 341-5701 Get Directions Write a Review

NPPES record last updated: October 7, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tri-state Gastroenterology Associates, Psc NPPES

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

TRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC (NPI 1306843842) is a healthcare organization registered as a clinic/center in Crestview Hills, Kentucky and active in the NPI registry since June 2005. The organization holds a CLIA Certificate of Compliance certificate valid through November 15, 2026 and lists Daniel G Fagel, President, as its authorized official.

NPPES Registry Identity

NPI1306843842
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTRI-STATE GASTROENTEROLOGY ASSOCIATES, PSC
Location Address425 CENTRE VIEW BLVDCrestview Hills, KY 41017-3409
Mailing Address425 Centre View BlvdCrestview Hills, KY 41017-3409 · (859) 341-3575 · Fax (859) 341-5701
Fax(859) 341-5701
Organization SubpartNo
Authorized OfficialDaniel G FagelPresident · (859) 341-3575
Enumeration DateJune 30, 2005
Last NPPES UpdateOctober 7, 2014
✔ NPI 1306843842 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
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).
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X
Also ListedPhysician AssistantTaxonomy 363A00000X
425 CENTRE VIEW BLVD, Crestview Hills, KY 41017

Other Identifiers 8

Other7100179230KY · Ky Medicaid Pa Group
Medicaid200354220IN
OtherCM0475Medicare Railroad
Medicaid6591623100KY
Other000000032466Anthem
Other78901550KY · Ky Medicaid Np Group
Medicaid0835841OH
Medicare PIN3491KY

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 Gastroenterology Associates, Psc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

18

Medicare enrollment records show 18 clinicians reassign Medicare billing to Tri-State Gastroenterology Associates, Psc, which bills Medicare for the services they deliver. Of these, 16 practice at this address. They are listed nearest first.

Clinicians by Medicare Specialty 4

Gastroenterology8
Nurse Practitioner6
Internal Medicine2
Pathology2

Clinicians, nearest first (18)

Gastroenterology
NPI 1518964147
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1386641926
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1730571365
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1225271026
425 CENTRE VIEW BOULEVARD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1720250749
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1942796206
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1083611636
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1790074078
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1124793021
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1821597113
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOSSame address
Gastroenterology
NPI 1780714931
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Internal Medicine
NPI 1255894754
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1003305509
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881169357
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1437964806
425 CENTRE VIEW BLVD
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1700064995
425 CENTRE VIEW BLVD GASTROENTEROLOGY
Crestview Hills, KY 41017
(859) 341-3575
✔ PECOS✔ Accepts MedicareSame address
Pathology
NPI 1861474835
600 WILSON CREEK RD
Lawrenceburg, IN 47025
(812) 537-1010
✔ PECOS✔ Accepts Medicare18 mi
Pathology
NPI 1700868767
600 WILSON CREEK RD
Lawrenceburg, IN 47025
(812) 537-1010
✔ PECOS✔ Accepts Medicare18 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

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 Compliance 18D0324174

Tristate Gastroenterology Associates · Crestview Hills, KY
Active · expires Nov 15, 2026
CLIA Number18D0324174
Laboratory TypePhysician Office
Certificate Effective DateNovember 16, 2024
Certificate Expiration DateNovember 15, 2026
Laboratory DirectorDr. Stephen C. Eliason
Laboratory Phone(859) 655-4459
Laboratory LocationTristate Gastroenterology Associates425 Centre View Blvd, Crestview Hills, KY 41017
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Gastroenterology Associates, Psc's NPI number?

The NPI number for Tri-State Gastroenterology Associates, Psc is 1306843842. It was assigned to this organization in the NPPES registry on June 30, 2005.

Where is Tri-State Gastroenterology Associates, Psc located?

Tri-State Gastroenterology Associates, Psc is located at 425 Centre View Blvd, Crestview Hills, KY 41017. The listed phone number is (859) 341-3575.

What is Tri-State Gastroenterology Associates, Psc's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Tri-State Gastroenterology Associates, Psc enrolled in Medicare?

Yes. Tri-State Gastroenterology Associates, Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri-State Gastroenterology Associates, Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 18 clinicians in 4 Medicare specialties reassign their Medicare billing to Tri-State Gastroenterology Associates, Psc. 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 Gastroenterology (8), Nurse Practitioner (6) and Internal Medicine (2). Of these, 16 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Tri-State Gastroenterology Associates, Psc hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 18D0324174) is associated with this NPI, valid through November 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Tri-State Gastroenterology Associates, Psc accept?

Health plans from Anthem Blue Cross and Blue Shield list Tri-State Gastroenterology Associates, Psc 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 Gastroenterology Associates, Psc was last updated on October 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.