NPIMap

Tri-State Orthopaedics & Sports Medicine, Inc.

Organization Active NPI Orthopaedic Surgery Physician · Pittsburgh, PA

NPI 1174568232 · NPPES record last updated Feb 12, 2021

Key facts

NPI
1174568232
Entity type
Organization (NPI type 2)
Primary specialty
Orthopaedic Surgery Physician 207X00000X
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
Jun 20, 2006
Organization subpart
No

Authorized official

Name
Dr. Victor J Thomas, MD NPI 1447279385
Title
Managing Physician
Phone
(412) 369-4000

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

Other NPIs with the same Medicare PAC ID 1

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

Practitioners 71

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 71

Medicare participation

Medicare fee-for-service enrollment
Enrolled in PA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20040108001081 PA Part B Supplier - Clinic/Group Practice 2365342284 Receives reassigned benefits from 59 practitioners
Practice locations: Pittsburgh, PA; Seven Fields, PA; Butler, PA

National Provider Directory

Locations

9100 Babcock Blvd
Pittsburgh, PA 15237
Phone (412) 367-5589

300 Chapel Harbor Dr
Ste 300
Pittsburgh, PA 15238
Phone (412) 696-0303

4955 Steubenville Pike
Pittsburgh, PA 15205
Phone (412) 282-5250

4955 Steubenville Pike
Ste 110
Pittsburgh, PA 15205
Phone (412) 722-1180

400 Northpointe Cir
Seven Fields, PA 16046
Phone (412) 322-2129

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP		 207X00000X Yes

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

Other identifiers

IdentifierTypeStateIssuer
C20107OtherPARR MEDICARE PIN
139618OtherPABLUE SHIELD PIN
139618OtherPAMEDICARE PIN

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 12, 2021.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613088000000",
    "number": "1174568232",
    "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": "2006-06-20",
        "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",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "C20107",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PIN",
            "identifier": "139618",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "139618",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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Sources for this page

Verify at the official NPI Registry.