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NPI · 1649598426 · NPPES-sourced

Tri-State Medical Specialists LLC

ActivePain Medicine Physician
NPI Number
1649598426
Type 2 · Organisation
Taxonomy Code
208VP0000X
Contact
(928) 788-3333
Primary practice line
Last Updated
Enumerated
Primary practice addressAZ · 86426-6698
1510 E Wagon Wheel Ln Ste 110Fort Mohave, AZ 86426-6698
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About this NPIWhat this record shows.

NPI 1649598426 is registered to Tri-State Medical Specialists LLC, a healthcare organisation classified as "Pain Medicine Physician" and located at 1510 E Wagon Wheel Ln Ste 110 in Fort Mohave, Arizona. The organisation's authorised official is Knaya Tabora. The organisation has been enumerated in the NPI registry since 2010.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Other

  • DQ4807AZ· Issued by MEDICARE RAILROAD GROUP PIN

Source: NPPES public registry.

Medicare enrollment

This provider holds 4 Medicare enrollments on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

DME Supplier

Source: CMS PECOS public enrollment file.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Tri-State Medical Specialists LLC accepts. To confirm in-network status with your specific health plan, contact Tri-State Medical Specialists LLC directly at (928) 788-3333.

Frequently asked

Yes. NPI 1649598426 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Pain Medicine Physician is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (928) 788-3333.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Tri-State Medical Specialists LLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy208VP0000X
Last updated
Enumerated
StatusActive
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1 record · same addressOther providers at this location.

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Same specialtyOther Pain Medicine Physician providers in Arizona.

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Adjacent in the NPPES enumeration sequenceNPIs enumerated around this one.

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