TRI-STATE SURGERY CENTER L.L.C. NPI 1275530271

NPI Information

  • NPI: 1275530271
  • Provider Name: TRI-STATE SURGERY CENTER, L.L.C.
  • Classification: Clinic/Center - 261QA1903X
  • Specialization: Ambulatory Surgical
  • Entity Type: Organization
  • Former Legal Business Name: DUBUQUE REGIONAL AMBULATORY SURGICAL CENTER, L.L.C.
  • CLIA Number: 16D0952051
  • Address: 1500 ASSOCIATES DR
    DUBUQUE, IA
    ZIP 52002
  • Phone: (563) 584-4536

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NPI Details

TRI-STATE SURGERY CENTER, L.L.C. is an ambulatory surgical clinic center in Dubuque, IA. TRI-STATE SURGERY CENTER, L.L.C. NPI is 1275530271. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Dubuque Regional Ambulatory Surgical Center, L.l.c..

The provider's business location address is:

1500 ASSOCIATES DR
DUBUQUE, IA
ZIP 52002-201
Phone: (563) 584-4536
Fax: (563) 584-4526

The provider's authorized official is Barbara Ann Perleth .
The authorized official title is Business Office Manager and has the following contact phone number (563) 584-4506.

The CLIA number assigned to this NPI record is 16D0952051 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
  • Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
  • Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
  • Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Removal of excessive skin and fat of upper eyelid (HCPCS:15823)
  • Incision of tendon covering of finger (HCPCS:26055)
  • Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
  • Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
  • Destruction of polyp or growth of large bowel using a flexible endoscope (HCPCS:45388)
  • Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
  • Cystourethroscopy, with insertion of transprostatic implant; 4 or more implants (HCPCS:C9740)
  • Correction of toe joint deformity (HCPCS:28285)
  • Imaging of urinary tract following injection of a contrast agent (HCPCS:74420)
  • Insertion of initial aqueous fluid drainage device into eye (HCPCS:0449T)
  • Insertion of sacral nerve neurostimulator electrode array (HCPCS:64561)
  • Repair of brow paralysis (HCPCS:67900)
  • Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
  • Biopsy of lining of uterus and/or removal of polyp using an endoscope (HCPCS:58558)
  • Release and/or relocation of elbow nerve (HCPCS:64718)
  • Complex removal of cataract with insertion of prosthetic lens (HCPCS:66982)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Insertion of peripheral or gastric neurostimulator generator (HCPCS:64590)
  • Insertion of central venous tube with port (5 years or older) (HCPCS:36561)
  • Shock wave crushing of kidney stones (HCPCS:50590)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Repair of groin hernia (5 years or older) (HCPCS:49505)
  • Partial removal of collar bone at shoulder using an endoscope (HCPCS:29824)
  • Removal of knee cartilage using an endoscope (HCPCS:29881)
  • Imaging guidance for procedure, 60 minutes or less (HCPCS:76000)

The enumeration date for this NPI number is 7/5/2005 and was last updated on 5/31/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QA1903XClinic/CenterAmbulatory Surgical261QA1903XIOWAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
161010OTHERIOWABC/BS PROVIDER NUMBER
20610139MEDICAIDIOWA
361013MEDICARE PINIOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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