Tri-Star Physician, LLC

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

185465 Issued in NY

Legal business name

TRI-STAR PHYSICIAN, LLC

Doing business as

Community Pain Medicine

Practice address

14021 32ND Ave
Suite C1
Flushing, NY 11354-2613

Phone

(718) 224-1600

Fax

(718) 224-8085

NPI assigned

Mar 31, 2011

Last updated

Jan 3, 2017By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Han S Lee, M.DNPI 1235168964

Title

Physician

Phone

(718) 224-1600

Specialties & licenses 2

Addresses

Other names 1

• Community Pain Medicine Doing business as

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

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.

• Han Shik Lee, M.D.

  • Anesthesiology Physician
  • Flushing, NY
  • NPI 1235168964
  Medicare reassignment Care Compare group NPD Authorized official
• David S Kim, MD

  • Anesthesiology Physician
  • New York, NY
  • NPI 1023676822
  Medicare reassignment Care Compare group NPD
• Michael Opiniano Urban, PT

  • Physical Therapist
  • Flushing, NY
  • NPI 1871694737
  Medicare reassignment Care Compare group NPD
• Robert Byron Kim, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Flushing, NY
  • NPI 1992905533
  Medicare reassignment NPD

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

{
    "created_epoch": "1301529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483401600000",
    "number": "1144519042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14021 32ND AVE",
            "address_2": "SUITE C1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542613",
            "telephone_number": "718-224-1600",
            "fax_number": "718-224-8085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14021 32ND AVE",
            "address_2": "SUITE C1",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113542613",
            "telephone_number": "718-224-1600",
            "fax_number": "718-224-8085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI-STAR PHYSICIAN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-31",
        "last_updated": "2017-01-03",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "HAN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "718-224-1600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "185465",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "NY",
            "license": "185465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Pain Medicine",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tranquility Physical Therapy & Acupuncture PLLC
• Batsheva Leba Tratner
• Cynthia A Treiber, MD
• Lisa Tretola-Blanco
• Tri-Star Cdpa Service, Inc
• Triboro Care PT PC
• Triboro Care PT PC
• Irina Gennadyevna Trifonova, MD
• Jose Boris Vicente Trigueros Montes, MD
• Trinity Medical Healthcare PC

• Interventional Pain Medicine Physician in Flushing, NY
• Providers in Flushing, NY by specialty
• Interventional Pain Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.