TAMMIE NALLAMOTHU CRNA
NPI 1063480259
Nurse Anesthetist, Certified Registered in Royal Oak, MI
About Tammie Nallamothu Crna NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TAMMIE NALLAMOTHU CRNA (NPI 1063480259) is an individual nurse anesthetist, certified registered in Royal Oak, Michigan, licensed in Michigan (4704219560) and active in the NPI registry since March 2006.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tammie Nallamothu Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
3Medicare enrollment records show Tammie Nallamothu reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Royal Oak, MI 48073
- Reassigned Medicare billing, Michigan enrollment
- 278 clinicians in this Medicare group
Dearborn, MI 48124
- Reassigned Medicare billing, Michigan enrollment
- 37 clinicians in this Medicare group
Irving, TX 75038
- Reassigned Medicare billing, Michigan enrollment
- 905 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
ROYAL OAK, MI 48073
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tammie Nallamothu's NPI number?
The NPI number for Tammie Nallamothu is 1063480259. It was assigned to this individual provider in the NPPES registry on March 14, 2006.
Where is Tammie Nallamothu located?
Tammie Nallamothu practices at 3601 W. 13 Mile Rd 400 Fsc-Pcs, Royal Oak, MI 48073. The listed phone number is (248) 423-2481.
What is Tammie Nallamothu's specialty?
The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.
Is Tammie Nallamothu enrolled in Medicare?
Yes. Tammie Nallamothu is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Tammie Nallamothu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tammie Nallamothu reassigns Medicare benefits to 3 organizations: William Beaumont Hospital (Royal Oak, MI), Motor City Anesthesia Services PLLC (Dearborn, MI) and Northstar Anesthesia Of Michigan III PLLC (Irving, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Tammie Nallamothu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Tammie Nallamothu was last updated on October 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tammie Nallamothu, CRNA · NPI 1063480259
Nurse Anesthetist, Certified Registered physician in Royal Oak, Michigan. Individual provider, active in the CMS NPPES registry since March 14, 2006.
## Identity
- **NPI:** 1063480259 (Entity type: Individual)
- **Enumerated:** March 14, 2006
- **Primary specialty:** Nurse Anesthetist, Certified Registered · taxonomy 367500000X
- **State license:** 4704219560 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 3601 W. 13 MILE RD, 400 FSC-PCS, Royal Oak, MI 48073-6769
- **Phone:** (248) 423-2481
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): William Beaumont Hospital (NPI 1811044878, Royal Oak, MI); Motor City Anesthesia Services PLLC (NPI 1457058125, Dearborn, MI); Northstar Anesthesia Of Michigan III PLLC (NPI 1972126209, Irving, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2024
- **Other identifiers:** Other 430F364420 (MI); Medicaid 4600772 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1063480259) · Data from the CMS NPPES public registry.