Active NPI
Tameem Alsamsam, MD
- Anesthesiology Physician
- Fort Wayne, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 01052880A
- Practice address
- 6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203 - Phone
- (260) 436-7875
- Fax
- (260) 432-9812
- NPI assigned
- Oct 16, 2006
- Last updated
- Mar 5, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 015762 | ME | |
| Anesthesiology Physician | 207L00000X | 01052880A | IN | Primary |
Addresses
Primary practice location
6435 W Jefferson Blvd # 434
Fort Wayne, IN 46804-6203
Mailing address
PO Box 843603
Dallas, TX 75284-0001
Phone (972) 233-1999
Other practice location 1
897 W Main St
Dover Foxcroft, ME 04426-1029
Phone (207) 564-4251
Other practice location 2
360 Broadway
Bangor, ME 04401-3979
Phone (207) 907-1430
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300101314 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | talsamsam977175@direct-prd.goodhelpconnections.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME, IN, KY
- 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
- Anesthesiology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000
4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100
4023 Reas LN
New Albany, IN 47150-2228
Phone (812) 206-7660
489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000
4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8000
Hospital & facility affiliations
- Physicians' Medical Center LLC
- Baptist Health Louisville
- Baptist Health Floyd
- Northern Light Eastern Maine Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.1 of 100
- Quality
- 64.8
- Promoting interoperability
- 96
- Improvement activities
- 40
- Cost
- 68.87
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01052880A | IN | MD | Anesthesiology Physician |
| 015762 | ME | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Indiana LLC | Anesthesiology | Current | Accepting new patients |
| Acadia Medical Arts Anesthesia LLC | Current | Accepting new patients | |
| St. Joseph Hospital | Current | Accepting new patients | |
| Associated Anesthesiologists of Fort Wayne PC | Anesthesiology | Current | Accepting new patients |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Eastern Maine Medical Center | Current | Accepting new patients | |
| Professional Anesthesia Services of Kentucky PLLC | Anesthesiology | Current | Accepting new patients |
| U S Anesthesia Partners of Kentucky PSC | Anesthesiology | Past | Accepting new patients |
Locations
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
6435 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 436-7875
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
4023 Reas Ln
New Albany, IN 47150
Phone (502) 690-6425
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
4960 Norton Healthcare Blvd
Louisville, KY 40241
Phone (502) 446-8000
360 Broadway
Bangor, ME 04401
Phone (207) 262-1703
360 Broadway
#L
Bangor, ME 04401
Phone (207) 262-1703
489 State St
Bangor, ME 04401
Phone (207) 973-8837
73 Ridgewood Dr
Bangor, ME 04401
Phone (207) 433-7039
891 W Main St
Ste 200
Dovr Foxcroft, ME 04426
Phone (207) 564-4464
Interoperability endpoints
- talsamsam1149017@direct.bsmhealth.org
- talsamsam977175@direct-prd.goodhelpconnections.org
Organizations & group practices 8
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.
-
dba Midwest Anesthesia Associates
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
-
- Specialist
- Bangor, ME
- NPI 1124185376
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1154321545
-
- Rehabilitation Hospital Unit
- Bangor, ME
- NPI 1780674689
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1144901042
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baptist Health Floyd
- General Acute Care Hospital
- New Albany, IN
- NPI 1497798847
-
- General Acute Care Hospital
- New Albany, IN
- NPI 1689857385
-
dba Baptist Health Louisville
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- Bangor, ME
- NPI 1790789147
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741132800000",
"number": "1740370915",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 843603",
"city": "DALLAS",
"state": "TX",
"postal_code": "752840001",
"telephone_number": "972-233-1999",
"fax_number": "972-233-3666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6435 W JEFFERSON BLVD # 434",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468046203",
"telephone_number": "260-436-7875",
"fax_number": "260-432-9812"
}
],
"practiceLocations": [
{
"address_1": "897 W Main St",
"address_purpose": "LOCATION",
"city": "Dover Foxcroft",
"state": "ME",
"postal_code": "044261029",
"country_code": "US",
"telephone_number": "207-564-4251",
"fax_number": "207-564-4377",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "360 Broadway",
"address_purpose": "LOCATION",
"city": "Bangor",
"state": "ME",
"postal_code": "044013979",
"country_code": "US",
"telephone_number": "207-907-1430",
"fax_number": "207-907-3508",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ALSAMSAM",
"first_name": "TAMEEM",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-16",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "ME",
"license": "015762",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IN",
"license": "01052880A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300101314",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "talsamsam977175@direct-prd.goodhelpconnections.org",
"affiliation": "N",
"address_1": "360 Broadway",
"city": "Bangor",
"state": "ME",
"country_code": "US",
"postal_code": "044013979",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.