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

Active since August 19, 2010PECOS EnrolledAccepts Medicare Assignment
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: October 18, 2026.

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

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 and is a graduate of Other (2009).

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
Medical School CMSOtherGraduated 2009
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 Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ansel Tsung Jin Tjin-a-tam M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8325342447
PECOS Enrollment IDI20160225002600
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 Billing Reassignments

2

Medicare enrollment records show Ansel Tjin-a-tam reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Medical Associates, Inc.
3.6 mi
Sports Medicine
1951 BISHOP LN FL 4
Louisville, KY 40218
  • Reassigned Medicare billing, Kentucky enrollment
  • 1,896 clinicians in this Medicare group
NPI 1386904647 (502) 588-9490
Norton Children's Medical Group, LLC
5.9 mi
Clinical Genetics (M.D.)
4803 OLYMPIA PARK PLZ STE 1100
Louisville, KY 40241
  • Reassigned Medicare billing, Kentucky enrollment
  • Medicare enrollment name: Norton Childrens Medical Group LLC
  • 1,008 clinicians in this Medicare group
NPI 1013559921 (502) 272-5336

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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)
4123 DUTCHMANS LN STE 606
LOUISVILLE, KY 40207
Jefferson County (502) 629-6000
JORDAN MERRYMAN APRN
Nurse Practitioner (Neonatal)
4123 DUTCHMANS LN STE 606
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500
LAURA ELKHOURY ALVAREZ APRN
Nurse Practitioner (Pediatrics)
4123 DUTCHMANS LN STE 606
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500
JANICE FAYE STRINGER ARNP
Nurse Practitioner
4123 DUTCHMANS LN STE 606
LOUISVILLE, KY 40207
Jefferson County (502) 899-6900
MUKUL R SHAH M.D.
Pediatrics (Neonatal-Perinatal Medicine)
4123 DUTCHMANS LN STE 606
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500
CATHERINE A THORNBERRY LCSW
Social Worker (Clinical)
4123 DUTCHMANS LN STE 606
LOUISVILLE, KY 40207
Jefferson County (502) 899-6900
SARAH SIMPSON APRN
Nurse Practitioner (Family)
4123 DUTCHMANS LN STE 606
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500
ELIZABETH SOPHIA DEITZ APRN
Nurse Practitioner (Family)
4123 DUTCHMANS LN STE 606
LOUISVILLE, KY 40207
Jefferson County (502) 896-2500

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 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.

Where is Ansel Tjin-a-tam located?

Ansel Tjin-a-tam practices at 4123 Dutchmans Ln Ste 606, Louisville, KY 40207. The listed phone number is (502) 896-2500.

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.

Is Ansel Tjin-a-tam enrolled in Medicare?

Yes. Ansel Tjin-a-tam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ansel Tjin-a-tam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ansel Tjin-a-tam reassigns Medicare benefits to 2 organizations: Community Medical Associates, Inc. (Louisville, KY) and Norton Children's Medical Group, LLC (Louisville, KY). 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 Ansel Tjin-a-tam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ansel Tjin-a-tam accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Ansel Tjin-a-tam as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

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 weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.