TRI STATE UROLOGIC SERVICES PSC INC
NPI 1396938312
Urology in Cincinnati, OH

Q: What is Tri State Urologic Services Psc Inc's NPI number?

The NPI number for Tri State Urologic Services Psc Inc is 1396938312. It was assigned to this organization in the NPPES registry on August 22, 2007. The provider is doing business as The Urology Group.

Q: What is Tri State Urologic Services Psc Inc's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Active since August 22, 2007

3301 MERCY HEALTH BLVD, SUITE 525, CINCINNATI, OH 45211(513) 841-7700(513) 841-7701 Get Directions Write a Review

NPPES record last updated: March 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 9, 2026, Apr 2, 2024 (2 updates tracked since 2024).

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About Tri State Urologic Services Psc Inc NPPES

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

TRI STATE UROLOGIC SERVICES PSC INC (NPI 1396938312), doing business as The Urology Group, is a healthcare organization registered as an urology in Cincinnati, Ohio and active in the NPI registry since August 2007. The organization lists Earl L Walz, Ceo, as its authorized official.

NPPES Registry Identity

NPI1396938312

Entity TypeOrganization

Primary Taxonomy208800000X

Legal Business NameTRI STATE UROLOGIC SERVICES PSC INC

Location Address3301 MERCY HEALTH BLVD, SUITE 525Cincinnati, OH 45211-1104

Mailing Address2000 Joseph E Sanker BlvdCincinnati, OH 45212-1979 · (513) 841-7400 · Fax (513) 841-7401

Phone(513) 841-7700

Fax(513) 841-7701

Organization SubpartNo

Authorized OfficialEarl L WalzCeo · (513) 841-7400

Enumeration DateAugust 22, 2007

Last NPPES UpdateMarch 9, 20262 updates tracked since enumeration

NPPES CertifiedMarch 9, 2026

✔ NPI 1396938312 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X

3301 MERCY HEALTH BLVD, Cincinnati, OH 45211

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Other Names 1

Doing Business AsThe Urology Group

Other Identifiers 2

Medicaid0276946OH

OtherCC2433OH · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tri State Urologic Services Psc Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by January 31, 2027

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date

StateOhioEnrollment IDO20100930015679DME · Physician - UrologyDue dateJanuary 31, 2027

Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 68 clinicians reassign Medicare billing to Tri State Urologic Services Psc Inc, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 18 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 9

Urology41

Nurse Practitioner8

Diagnostic Radiology5

Pathology5

Radiation Oncology4

Interventional Radiology2

Anesthesiology1

Certified Registered Nurse Anesthetist (CRNA)1

1 other specialty1

Nearest to this location (20)

See all 68

Matthew Bertke, M.D.

Radiation Oncology

NPI 1083971683

3301 MERCY HEALTH BLVD STE 100
Cincinnati, OH 45211

(513) 751-2273

✔ PECOS✔ Accepts MedicareSame address

Lindsey Flanagan, APRN

Nurse Practitioner

NPI 1831873058

3301 MERCY HEALTH BLVD STE 525
Cincinnati, OH 45211

(513) 841-7700

✔ PECOS✔ Accepts MedicareSame address

Brandon Mudd, MD

Urology

NPI 1902309842

3301 MERCY HEALTH BLVD STE 525
Cincinnati, OH 45211

(513) 841-7700

✔ PECOS✔ Accepts MedicareSame address

Ryan Flynn, M.D.

Urology

NPI 1952612954

3301 MERCY HEALTH BLVD SUITE 525
Cincinnati, OH 45211

(513) 841-7700