Individual provider Active NPI

Tommy Tam, CRNA

  • Certified Registered Nurse Anesthetist
  • San Antonio, TX
National Provider Identifier
1669248860
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
1109801 Issued in TX
Practice address
1310 McCullough Ave
San Antonio, TX 78212-5601
Phone
(210) 757-2200
NPI assigned
Nov 29, 2023
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 1109801 TX Primary

Addresses

Primary practice location

1310 McCullough Ave
San Antonio, TX 78212-5601

Mailing address

300 E Basse Rd Apt 1121
San Antonio, TX 78209-8379
Phone (408) 464-0583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214003232 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072043306 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
U S Anesthesia Partners of Texas, PAGroup PAC ID 7315850351, 2,750 clinicians

Practice addresses (Care Compare)

11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lone Star Anesthesia Partners PLLC CurrentSince Feb 13, 2025 Accepting new patients
Orthomed Staffing LLC CurrentSince Sep 1, 2025 Accepting new patients
U S Anesthesia Partners of Texas, PA Nurse Anesthetist, Certified Registered CurrentSince May 24, 2025 Accepting new patients
U. S. Anesthesia Partners of Texas, P.a., Nurse Anesthetist, Certified Registered CurrentSince May 24, 2025 Accepting new patients

Locations (25 of 26)

7000 N Mopac Expy
Ste 120
Austin, TX 78731
Phone (512) 342-0900

110 Menger Spgs
Boerne, TX 78006
Phone (830) 331-6006

112 Herff Rd
Ste 200
Boerne, TX 78006
Phone (210) 331-7720

2727 E Lemmon Ave
Dallas, TX 75204
Phone (214) 443-3000

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

17080 Red Oak Dr
Houston, TX 77090
Phone (281) 298-7441

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

7211 Preston Rd
Ste 2100
Plano, TX 75024
Phone (469) 303-0104

19226 Stonehue
Ste 103
San Antonio, TX 78258
Phone (210) 268-0100

403 Treeline Park
Bldg 1
San Antonio, TX 78209
Phone (210) 294-8000

4411 Medical Dr
Ste 200
San Antonio, TX 78229
Phone (210) 575-4584

7902 Ewing Halsell Dr
San Antonio, TX 78229
Phone (210) 572-4899

19010 Stone Oak Pkwy
San Antonio, TX 78258
Phone (210) 575-0355

502 Madison Oak Dr
Ste 500
San Antonio, TX 78258
Phone (210) 499-6700

123 N Loop 1604 E
Ste 107
San Antonio, TX 78232
Phone (210) 267-1374

18414 US Highway 281 N
Ste 114
San Antonio, TX 78259
Phone (210) 450-4155

5510 Presidio Pkwy
Ste 100
San Antonio, TX 78249
Phone (210) 583-7200

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

1139 E Sonterra Blvd
Ste 100
San Antonio, TX 78258
Phone (210) 638-2000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

5330 N Loop 1604 W
San Antonio, TX 78249
Phone (210) 877-8000

9618 Huebner Rd
Ste 111
San Antonio, TX 78240
Phone (210) 942-0999

6427 Old Babcock Rd
Ste 100
San Antonio, TX 78240
Phone (210) 704-0465

423 Treeline Park
Ste 202
San Antonio, TX 78209
Phone (910) 949-6000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1669248860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E BASSE RD APT 1121",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782098379",
            "telephone_number": "408-464-0583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 MCCULLOUGH AVE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125601",
            "telephone_number": "210-757-2200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAM",
        "first_name": "TOMMY",
        "credential": "CRNA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-11-29",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1109801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

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

Verify at the official NPI Registry.