NPIMap

Organization Active NPI

Tri-State Orthopaedics & Sports Medicine, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Pittsburgh, PA
National Provider Identifier
1073548145
Registry record updated Feb 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
TRI-STATE ORTHOPAEDICS & SPORTS MEDICINE, INC.
Practice address
5900 Corporate Dr
Suite 200
Pittsburgh, PA 15237-7005
Phone
(412) 369-4000
Fax
(412) 369-7667
NPI assigned
Jul 11, 2006
Last updated
Feb 12, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Victor J. ThomasNPI 1447279385
Title
Managing Physician
Phone
(412) 369-4000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary
Customized Equipment (DME) 332BC3200X

Addresses

Primary practice location

5900 Corporate Dr
Suite 200
Pittsburgh, PA 15237-7005

Mailing address

5900 Corporate Dr
Suite 200
Pittsburgh, PA 15237-7005
Phone (412) 369-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930072819 PA DME Supplier - Physician - Orthopedic/Orthopedic Surgery 2365342284 Practice locations: Pittsburgh, PA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Tri-State Orthopaedics Spo3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

300 Northpointe Cir
Ste 100
Seven Fields, PA 16046
Phone (724) 776-2488

400 Northpointe Cir
Ste 101
Seven Fields, PA 16046
Phone (412) 848-1826

Practitioners & affiliated clinicians

Practitioners 45

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 45

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1073548145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5900 CORPORATE DR",
            "address_2": "SUITE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377005",
            "telephone_number": "412-369-4000",
            "fax_number": "412-369-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 CORPORATE DR",
            "address_2": "SUITE 200",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152377005",
            "telephone_number": "412-369-4000",
            "fax_number": "412-369-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STATE ORTHOPAEDICS & SPORTS MEDICINE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-11",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MANAGING PHYSICIAN",
        "authorized_official_telephone_number": "412-369-4000"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.