ANSEL TSUNG JIN TJIN-A-TAM M.D
NPI 1306152939
Pediatrics - Neonatal-Perinatal Medicine in Louisville, KY

Q: What is Ansel Tjin-a-tam's NPI number?

The NPI number for Ansel Tjin-a-tam is 1306152939. It was assigned to this individual provider in the NPPES registry on August 19, 2010.

Q: What is Ansel Tjin-a-tam's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Q: When was this NPI record last updated?

The NPPES record for Ansel Tjin-a-tam was last updated on September 7, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 19, 2010PECOS Enrolled

100/100

CMS Quality Rating

4123 DUTCHMANS LN STE 606, LOUISVILLE, KY 40207(502) 896-2500(502) 896-2527 Get Directions Write a Review

NPPES record last updated: September 7, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 7, 2021, Jan 22, 2021 (2 updates tracked since 2021).

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About Ansel Tsung Jin Tjin-a-tam M.d NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANSEL TSUNG JIN TJIN-A-TAM M.D (NPI 1306152939) is an individual neonatal-perinatal medicine provider in Louisville, Kentucky, licensed in Kentucky (48945) and active in the NPI registry since August 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306152939

Entity TypeIndividualMale

Primary Taxonomy2080N0001X

Provider Legal NameANSEL TSUNG JIN TJIN-A-TAMCredential: M.D

Location Address4123 DUTCHMANS LN STE 606Louisville, KY 40207-4725

Mailing AddressPo Box 776879Chicago, IL 60677-6879 · (502) 588-9490 · Fax (502) 272-5116

Phone(502) 896-2500

Fax(502) 896-2527

Sole ProprietorNo

Enumeration DateAugust 19, 2010

Last NPPES UpdateSeptember 7, 20212 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2021

✔ NPI 1306152939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in KY · 48945

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License 125057190 (IL)

4123 DUTCHMANS LN STE 606, Louisville, KY 40207

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ansel Tsung Jin Tjin-a-tam M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

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.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

100

Improvement Activities

Leave this field empty

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

WESLEY THOMAS APRN

Nurse Practitioner (Neonatal)