Organization Active NPI

Tri City Urology Associates PC

  • Urology Physician
  • Saginaw, MI
National Provider Identifier
1366463101
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
TRI CITY UROLOGY ASSOCIATES PC
Practice address
1117 S Washington Ave
Saginaw, MI 48601
Phone
(989) 791-4020
Fax
(989) 791-5152
NPI assigned
Jul 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Authorized official

Name
Dr. Tamara Lynn Bahm, BILLER
Title
Medical Biller
Phone
(989) 791-4020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

1117 S Washington Ave
Saginaw, MI 48601

Mailing address

1117 S Washington Ave
Saginaw, MI 48601
Phone (989) 791-4020

Other practice location 1

4 Columbus Ave Ste 130
Bay City, MI 48708-6469
Phone (989) 895-2636

Other practice location 2

565 Progress St Ste D
West Branch, MI 48661-8601
Phone (989) 895-2634

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address helen@tricityuro.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060809000077 MI Part B Supplier - Clinic/Group Practice 8729081963 Receives reassigned benefits from 6 practitioners
Practice locations: Bay City, MI; Frankenmuth, MI; Gladwin, MI; Mt Pleasant, MI; Saginaw, MI; West Branch, MI

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0949204Tri-City Urology PC1117 S Washington, Saginaw, MI 48601Provider-performed microscopyJul 27, 2028

National Provider Directory

National Provider Directory

Locations

1115 S Van Dyke Rd
Bad Axe, MI 48413
Phone (845) 300-7416

4 Columbus Ave
Ste 130
Bay City, MI 48708
Phone (989) 895-2634

4 Columbus Ave
Ste 101
Bay City, MI 48708
Phone (989) 895-2634

200 S Wenona St
Ste 294
Bay City, MI 48706
Phone (517) 893-1149

200 S Wenona St
Ste G65
Bay City, MI 48706
Phone (517) 894-1131

2050 E Caro Rd
Ste 2
Caro, MI 48723

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

1117 S Washington Ave
Saginaw, MI 48601
Phone (989) 791-4020

Practitioners & affiliated clinicians

Practitioners 10

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

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695168000000",
    "number": "1366463101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1117 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48601",
            "telephone_number": "989-791-4020",
            "fax_number": "989-791-5152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1117 S WASHINGTON AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "48601",
            "telephone_number": "989-791-4020",
            "fax_number": "989-791-5152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Columbus Ave Ste 130",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487086469",
            "country_code": "US",
            "telephone_number": "989-895-2636",
            "fax_number": "989-895-2636",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "565 Progress St Ste D",
            "address_purpose": "LOCATION",
            "city": "West Branch",
            "state": "MI",
            "postal_code": "486618601",
            "country_code": "US",
            "telephone_number": "989-895-2634",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TRI CITY UROLOGY ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-21",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "BAHM",
        "authorized_official_first_name": "TAMARA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "MEDICAL BILLER",
        "authorized_official_telephone_number": "989-791-4020",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "BILLER"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "helen@tricityuro.com",
            "affiliation": "N",
            "address_1": "1117 S Washington Ave",
            "city": "Saginaw",
            "state": "MI",
            "country_code": "US",
            "postal_code": "486012558",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2023; 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.