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TRI STATE SURGICAL ASSOCIATES PLLC
NPI 1801993175
Specialist in Middletown, NY

Active since September 20, 2006
384 CRYSTAL RUN RD, SUITE 201, MIDDLETOWN, NY 10941(845) 692-8780(845) 692-3439 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Tri State Surgical Associates Pllc NPPES

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

TRI STATE SURGICAL ASSOCIATES PLLC (NPI 1801993175) is a healthcare organization registered as a specialist in Middletown, New York and active in the NPI registry since September 2006. The organization lists Gina Kowal, Billing Manager, as its authorized official.

NPPES Registry Identity

NPI1801993175
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTRI STATE SURGICAL ASSOCIATES PLLC
Location Address384 CRYSTAL RUN RD, SUITE 201Middletown, NY 10941-4013
Mailing Address384 Crystal Run Rd, Suite 201Middletown, NY 10941-4013 · (845) 692-8780 · Fax (845) 692-3439
Phone(845) 692-8780
Fax(845) 692-3439
Organization SubpartNo
Authorized OfficialGina KowalBilling Manager · (845) 692-8780
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1801993175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NY · 216778
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.
384 CRYSTAL RUN RD, Middletown, NY 10941
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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 SINGLE SPECIALTY GROUP

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 Surgical Associates Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Tri State Surgical Associates PLLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (6)

Jaime Cepeda, MD
General Surgery
NPI 1811932965
384 CRYSTAL RUN RD STE 201
Middletown, NY 10941
(845) 692-8780
✔ PECOS✔ Accepts MedicareSame address
Jody Machugh, FNP
Nurse Practitioner
NPI 1801967484
384 CRYSTAL RUN RD STE 201
Middletown, NY 10941
(845) 692-8780
✔ PECOS✔ Accepts MedicareSame address
Vasu Chirumamilla, M.D.
General Surgery
NPI 1366786998
257 LAFAYETTE AVE
Suffern, NY 10901
(845) 369-8800
✔ PECOS✔ Accepts Medicare26 mi
Laura De Andrade, N.P.
Nurse Practitioner
NPI 1952639015
156 ROUTE 59 A2
Suffern, NY 10901
(845) 517-2870
✔ PECOS26 mi
Ramon Rivera, M.D.
General Surgery
NPI 1841299005
156 ROUTE 59 STE A2
Suffern, NY 10901
(845) 517-2870
✔ PECOS✔ Accepts Medicare26 mi
Elizabeth Handler, NP-C
Nurse Practitioner
NPI 1972943462
10 WOODS RD
Valhalla, NY 10595
(518) 225-7602
✔ PECOS38 mi

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 Surgical Associates PLLC's NPI number?

The NPI number for Tri State Surgical Associates PLLC is 1801993175. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Tri State Surgical Associates PLLC located?

Tri State Surgical Associates PLLC is located at 384 Crystal Run Rd Suite 201, Middletown, NY 10941. The listed phone number is (845) 692-8780.

What is Tri State Surgical Associates PLLC's specialty?

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

Is Tri State Surgical Associates PLLC enrolled in Medicare?

Yes. Tri State Surgical Associates PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tri State Surgical Associates PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 2 Medicare specialties reassign their Medicare billing to Tri State Surgical Associates PLLC. 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 General Surgery (3) and Nurse Practitioner (3). Of these, 2 practice at this address. 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 Surgical Associates PLLC was last updated on November 1, 2023. 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.