TRI STATE ALLERGY AND ASTHMA, LLC
NPI 1801262001
Clinic/Center - Medical Specialty in Erie, PA

Active since August 11, 2015
3546 W 12TH ST, ERIE, PA 16505(814) 879-0979(814) 452-4360 Get Directions Write a Review

NPPES record last updated: August 17, 2019. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tri State Allergy And Asthma, Llc NPPES

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

TRI STATE ALLERGY AND ASTHMA, LLC (NPI 1801262001) is a healthcare organization registered as a medical specialty in Erie, Pennsylvania and active in the NPI registry since August 2015. The organization lists Sartaj Ahmed, Owner/physician, as its authorized official.

NPPES Registry Identity

NPI1801262001
Entity TypeOrganization
Primary Taxonomy261QM2500X
Legal Business NameTRI STATE ALLERGY AND ASTHMA, LLC
Location Address3546 W 12TH STErie, PA 16505-3654
Mailing Address3546 W 12th StErie, PA 16505-3654 · (814) 879-0979 · Fax (814) 452-4360
Fax(814) 452-4360
Organization SubpartNo
Authorized OfficialSartaj AhmedOwner/physician · (814) 688-1508
Enumeration DateAugust 11, 2015
Last NPPES UpdateAugust 17, 2019
✔ NPI 1801262001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Medical SpecialtyAmbulatory Health Care Facilities
Taxonomy Code261QM2500X
License✔ Licensed in PA · MD434791
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
3546 W 12TH ST, Erie, PA 16505

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 Allergy And Asthma, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tri State Allergy And Asthma, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Allergy/Immunology
NPI 1629255443
3546 W 12TH ST
Erie, PA 16505
(814) 879-0979
✔ PECOS✔ Accepts MedicareSame address

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 Allergy And Asthma, LLC's NPI number?

The NPI number for Tri State Allergy And Asthma, LLC is 1801262001. It was assigned to this organization in the NPPES registry on August 11, 2015.

Where is Tri State Allergy And Asthma, LLC located?

Tri State Allergy And Asthma, LLC is located at 3546 W 12th St, Erie, PA 16505. The listed phone number is (814) 879-0979.

What is Tri State Allergy And Asthma, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Medical Specialty, with taxonomy code 261QM2500X.

Is Tri State Allergy And Asthma, LLC enrolled in Medicare?

Yes. Tri State Allergy And Asthma, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri State Allergy And Asthma, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Allergy/Immunology) reassigns their Medicare billing to Tri State Allergy And Asthma, 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tri State Allergy And Asthma, LLC was last updated on August 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.