NPIMap

Organization Active NPI

Tri State Urologic Services PSC Inc

Doing business as The Urology Group

  • Urology Physician
  • Cincinnati, OH
National Provider Identifier
1912729005
Registry record updated Oct 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
Legal business name
TRI STATE UROLOGIC SERVICES PSC INC
Doing business as
The Urology Group
Practice address
4746 Montgomery Rd
Cincinnati, OH 45212-2622
Phone
(513) 841-7400
NPI assigned
Oct 29, 2024
Last updated
Oct 29, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2024

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

Authorized official

Name
Janis Ruth Osborne
Title
Manager
Phone
(513) 841-7466

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0204X
Urology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208800000X Primary

Addresses

Primary practice location

4746 Montgomery Rd
Cincinnati, OH 45212-2622

Mailing address

PO Box 738291
Dallas, TX 75373-8291

Other names 1

  • The Urology Group Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000285 OH Part B Supplier - Clinic/Group Practice 6204740889 Receives reassigned benefits from 87 practitioners
26 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Wilmington, OH; West Chester, OH; Oxford, OH; Middletown, OH; Hamilton, OH; Fairfield, OH; Cincinnati, OH; Blue Ash, OH

Other NPIs on the same Medicare enrollment 11

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Tri State Urologic Services10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

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

Locations

20 Medical Village Dr
Ste 308
Edgewood, KY 41017
Phone (606) 341-2672

7388 Turfway Rd
Ste 108
Florence, KY 41042
Phone (859) 371-5600

40 N Grand Ave
Ste 104
Fort Thomas, KY 41075
Phone (606) 441-0800

85 N Grand Ave
Fort Thomas, KY 41075
Phone (859) 572-3100

10475 Reading Rd
Ste 206
Cincinnati, OH 45241
Phone (513) 250-4242

2450 Kipling Ave
Ste 101
Cincinnati, OH 45239
Phone (513) 542-5142

2859 Boudinot Ave
Ste 206
Cincinnati, OH 45238
Phone (513) 662-0222

4420 Aicholtz Rd
Ste 120
Cincinnati, OH 45245
Phone (513) 732-6200

4746 Montgomery Rd
Cincinnati, OH 45212
Phone (513) 731-5600

2960 Mack Rd
Ste 205
Fairfield, OH 45014
Phone (513) 825-5454

10450 New Haven Rd
Ste 1
Harrison, OH 45030
Phone (513) 451-7400

608 Reading Rd
Ste E
Mason, OH 45040
Phone (513) 241-5489

10550 Montgomery Rd
Ste 24
Montgomery, OH 45242
Phone (513) 793-2835

781 W Locust St
Wilmington, OH 45177
Phone (937) 283-2273

Practitioners & affiliated clinicians

Practitioners 89

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 89

NPI Registry JSON

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

{
    "created_epoch": "1730160000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1730160000000",
    "number": "1912729005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 738291",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753738291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4746 MONTGOMERY RD",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452122622",
            "telephone_number": "513-841-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRI STATE UROLOGIC SERVICES PSC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-29",
        "last_updated": "2024-10-29",
        "certification_date": "2024-10-29",
        "status": "A",
        "authorized_official_last_name": "OSBORNE",
        "authorized_official_first_name": "JANIS",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "513-841-7466"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Urology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Urology Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2024; 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.