Tri-State Medical Specialists LLC
NPI 1649598426 · Pain Medicine Physician · Fort Mohave, AZ
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tri-State Medical Specialists LLC is a Pain Medicine Physician organization in Fort Mohave, AZ (NPI 1649598426).
Provider details
- NPI number
- 1649598426
- Entity type
- Organization
- Primary specialty
- Pain Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Knaya Tabora, Owner/Member Manager(928) 788-3333
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pain Medicine (Anesthesiology) Physician207LP2900X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Tristate Pain Institute
- Doing business as
- Tristate Pain Institute
Registry dates
- Enumerated
- 2010-05-04
- Last updated
- 2023-10-12
- Certified
- 2023-10-12
Frequently asked questions
- What is Tri-State Medical Specialists LLC's NPI number?
- Tri-State Medical Specialists LLC's National Provider Identifier (NPI) is 1649598426, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tri-State Medical Specialists LLC?
- Tri-State Medical Specialists LLC is classified in the NPPES registry as Pain Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Tri-State Medical Specialists LLC located?
- Tri-State Medical Specialists LLC's practice location on file with NPPES is 1510 E Wagon Wheel Ln Ste 110, Fort Mohave, AZ 86426-6698.
- What is Tri-State Medical Specialists LLC's phone number?
- The practice phone number listed in the NPPES registry for Tri-State Medical Specialists LLC is (928) 788-3333.
- Does Tri-State Medical Specialists LLC accept Medicare?
- Tri-State Medical Specialists LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tri-State Medical Specialists LLC?
- The authorized official listed on Tri-State Medical Specialists LLC's NPPES record is Knaya Tabora, Owner/Member Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tri-State Medical Specialists LLC's NPI active?
- Yes — Tri-State Medical Specialists LLC's NPI (1649598426) is active in the NPPES registry as of the last update on 2023-10-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.