Active NPI
Tanaporn Rasameesoraj, M.D.
- Sleep Medicine (Psychiatry & Neurology) Physician
- St Louis Park, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sleep Medicine (Psychiatry & Neurology) Physician
- License
- 79290
- Practice address
- 3931 Louisiana Ave S
St Louis Park, MN 55426-5000 - Phone
- (985) 299-3323
- Fax
- (952) 993-1748
- NPI assigned
- Jun 26, 2012
- Last updated
- May 15, 2025
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Neurology Physician | 2084N0400X | 01082567A | IN | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 125071614 | IL | |
| Sleep Medicine (Psychiatry & Neurology) Physician | 2084S0012X | 79290 | MN | Primary |
Addresses
Primary practice location
3931 Louisiana Ave S
St Louis Park, MN 55426-5000
Mailing address
8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Other practice location 1
676 N Saint Clair St Ste 7-701
Chicago, IL 60611-2927
Phone (312) 926-4197
Other practice location 2
676 N Saint Clair St Ste 7-701
Chicago, IL 60611-2927
Phone (312) 926-4197
Other practice location 3
4233 Gateway Blvd
Newburgh, IN 47630
Phone (812) 477-1560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649534496 | Other | NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, KY, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Sleep Medicine
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3931 Louisiana Ave S
St Louis Park, MN 55426-5000
Phone (952) 993-3123
4155 County Rd 101
Plymouth, MN 55446-2307
Phone (952) 993-8900
5320 Hyland Greens Dr
Bloomington, MN 55437-3934
Phone (952) 993-2400
6500 Excelsior Blvd
St Louis Park, MN 55426-4702
Phone (952) 993-3123
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79290 | MN | MD | Sleep Medicine (Psychiatry & Neurology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deaconess Clinic Inc. | Neurology | Current | Accepting new patients |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Deaconess Clinic Inc | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Neurology | Current | Accepting new patients |
| Deaconess Hospital, Inc | Sleep Medicine | Current | Accepting new patients |
| Deaconess Hospital Inc | Current | Accepting new patients | |
| Gibson General Hospital, Inc | Current | Accepting new patients | |
| Deaconess Clinic Inc. | Current | Accepting new patients | |
| Park Nicollet Clinic | Current | Accepting new patients | |
| Deaconess Hospital, Inc | Sleep Medicine | Current | Accepting new patients |
Locations
350 W Columbia St
Ste 210
Evansville, IN 47710
Phone (812) 450-3852
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
4600 W Lloyd Expy
Evansville, IN 47712
Phone (812) 450-6311
7307 E Columbia St
Ste 101
Evansville, IN 47715
Phone (812) 473-1737
4233 Gateway Blvd
Newburgh, IN 47630
Phone (812) 474-7116
1204 Williams St
Oakland City, IN 47660
Phone (812) 749-6187
1808 Sherman Dr
Ste 2209
Princeton, IN 47670
Phone (812) 385-9420
1305 N Elm St
Henderson, KY 42420
Phone (270) 827-7100
5320 Hyland Greens Dr
Minneapolis, MN 55437
Phone (952) 993-2400
8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375
3931 Louisiana Ave S
St Louis Park, MN 55426
Phone (952) 993-3230
Organizations & group practices 11
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1780621904
-
dba Deaconess Care Group
- Hospitalist Physician
- Evansville, IN
- NPI 1427097443
Neurology
-
dba Deaconess Gibson Providers
- Family Medicine Physician
- Princeton, IN
- NPI 1588143275
-
dba Deaconess Pulmonary New Hartford
- Pulmonary Disease Physician
- Owensboro, KY
- NPI 1841822327
-
- Family Medicine Physician
- St Louis Park, MN
- NPI 1063897593
-
- Pediatrics Physician
- Washington, IN
- NPI 1356132310
-
dba Deaconess Clinic II
- Family Medicine Physician
- Newburgh, IN
- NPI 1033365986
Neurology
-
- Internal Medicine Physician
- Evansville, IN
- NPI 1619123585
-
- Mental Health Counselor
- Evansville, IN
- NPI 1508723552
-
dba Deaconess Sleep Center East
- Sleep Medicine (Internal Medicine) Physician
- Evansville, IN
- NPI 1497187397
-
dba Deaconess Sleep Center - Main
- Sleep Medicine (Internal Medicine) Physician
- Evansville, IN
- NPI 1861824716
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Maple Grove, MN
- NPI 1174980692
-
dba Park Nicollet Methodist Hospital Outpatient Surgery Center
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1194113217
-
dba PN Methodist Hospital Episodic Bundle
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1245615772
-
dba Park Nicollet Melrose Center
- Mental Illness Community Based Residential Treatment Facility
- St Louis Park, MN
- NPI 1578717336
Hospital
-
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1649220724
-
dba Park Nicollet Melrose Center
- General Acute Care Hospital
- St Louis Park, MN
- NPI 1942585286
-
dba The Women's Hospital
- General Acute Care Hospital
- Newburgh, IN
- NPI 1780535427
-
- General Acute Care Hospital
- Evansville, IN
- NPI 1053361642
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747267200000",
"number": "1649534496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8170 33RD AVE S # MS 21110Q",
"city": "BLOOMINGTON",
"state": "MN",
"postal_code": "554254516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3931 LOUISIANA AVE S",
"city": "ST LOUIS PARK",
"state": "MN",
"postal_code": "554265000",
"telephone_number": "985-299-3323",
"fax_number": "952-993-1748"
}
],
"practiceLocations": [
{
"address_1": "676 N Saint Clair St Ste 7-701",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112927",
"country_code": "US",
"telephone_number": "312-926-4197",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "676 N Saint Clair St Ste 7-701",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606112927",
"country_code": "US",
"telephone_number": "312-926-4197",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4233 Gateway Blvd",
"address_purpose": "LOCATION",
"city": "Newburgh",
"state": "IN",
"postal_code": "47630",
"country_code": "US",
"telephone_number": "812-477-1560",
"fax_number": "812-477-1595",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RASAMEESORAJ",
"first_name": "TANAPORN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-26",
"last_updated": "2025-05-15",
"certification_date": "2025-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01082567A",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "IL",
"license": "125071614",
"primary": false
},
{
"code": "2084S0012X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Sleep Medicine",
"state": "MN",
"license": "79290",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1649534496",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in St Louis Park, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.