Individual provider Active NPI

Christian Andrew Dewan

  • Urology Physician
  • Crestview Hills, KY
National Provider Identifier
1326536962
Registry record updated Jun 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
58281 Issued in KY
Practice address
350 Thomas More Pkwy
Crestview Hills, KY 41017-5465
Phone
(859) 363-2200
NPI assigned
Apr 30, 2018
Last updated
Jun 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 58281 KY Primary

Addresses

Primary practice location

350 Thomas More Pkwy
Crestview Hills, KY 41017-5465

Mailing address

337 Compton Hills Dr
Cincinnati, OH 45215-4118
Phone (815) 871-2461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY, IN3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20230705000530 OH Practitioner - Urology 3779942032 Reassigns benefits to 1 organization
I20230711001079 KY Practitioner - Urology 3779942032 Reassigns benefits to 1 organization
I20240715001121 IN Practitioner - Urology 3779942032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Tennessee, HSC, College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri State Urologic Services PSC IncGroup PAC ID 6204740889, shared by 8 NPIs, 74 clinicians

Practice addresses (Care Compare)

2000 Joseph E Sanker Blvd
Cincinnati, OH 45212-1979
Phone (513) 841-7400

350 Thomas More Pkwy
Suite 200
Crestview Hills, KY 41017-5460
Phone (859) 363-2200

605 Wilson Creek Rd
Suite 1
Lawrenceburg, IN 47025-2507
Phone (859) 363-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.83 of 100Reported as group
Promoting interoperability
98
Improvement activities
40
Cost
83.09

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
58281KYMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Urologic Services PSC Inc Urology CurrentSince Aug 15, 2023 Accepting new patients
Tri State Urologic Services PSC Inc Urology CurrentSince Sep 1, 2024 Accepting new patients
Tri State Urologic Services PSC Inc Urology CurrentSince Aug 15, 2023 Accepting new patients
Tri State Urologic Services PSC Inc Urology Current Accepting new patients
Tri State Urologic Services PSC Inc Urology Current Accepting new patients
Tri State Urologic Services PSC Inc Urology CurrentSince Aug 15, 2023 Accepting new patients

Locations

605 Wilson Creek Rd
Lawrenceburg, IN 47025
Phone (812) 496-8779

605 Wilson Creek Rd
Ste 1
Lawrenceburg, IN 47025
Phone (513) 574-5400

350 Thomas More Pkwy
Crestview Hills, KY 41017
Phone (513) 569-5200

350 Thomas More Pkwy
Ste 200
Crestview Hills, KY 41017
Phone (859) 363-2200

4360 Ferguson Dr
Ste 100
Cincinnati, OH 45245
Phone (513) 841-7750

2000 Joseph E Sanker Blvd
Norwood, OH 45212
Phone (513) 841-7400

Interoperability endpoints

  • Direct secure messaging: christiandewan@tsus.allscriptsdirect.net

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1525046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1326536962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 COMPTON HILLS DR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452154118",
            "telephone_number": "815-871-2461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 THOMAS MORE PKWY",
            "city": "CRESTVIEW HILLS",
            "state": "KY",
            "postal_code": "410175465",
            "telephone_number": "859-363-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWAN",
        "first_name": "CHRISTIAN",
        "middle_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-30",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "KY",
            "license": "58281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Crestview Hills, KY

Sources for this page

Verify at the official NPI Registry.