SAMUEL TREDEMEYER DO
NPI 1366570855
Internal Medicine in Flower Mound, TX
About Samuel Tredemeyer Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMUEL TREDEMEYER DO (NPI 1366570855) is an individual internal medicine provider in Flower Mound, Texas, licensed in Texas (P2386) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Mayo Clinic Health System - Mankato, and maintains a secondary practice location in La Crosse.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Other Identifiers 1
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
Samuel Tredemeyer Do 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.
Medicare Billing Reassignments
4Medicare enrollment records show Samuel Tredemeyer reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
La Crosse, WI 54601
- Reassigned Medicare billing, Wisconsin enrollment
- 1,003 clinicians in this Medicare group
Kalamazoo, MI 49048
- Reassigned Medicare billing, Michigan enrollment
- 596 clinicians in this Medicare group
Adrian, MI 49221
- Reassigned Medicare billing, Michigan enrollment
- 237 clinicians in this Medicare group
Saginaw, MI 48603
- Reassigned Medicare billing, Michigan enrollment
- 720 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mayo Clinic Health System - Mankato
Acute Care Hospitals · Mankato, MNMayo Clinic Health System Eau Claire Hospital
Acute Care Hospitals · Eau Claire, WIMayo Clinic Health System-Northland
Critical Access Hospitals · Barron, WIPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 75028 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
FLOWER MOUND, TX 75028
FLOWER MOUND, TX 75028
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 Samuel Tredemeyer's NPI number?
The NPI number for Samuel Tredemeyer is 1366570855. It was assigned to this individual provider in the NPPES registry on February 28, 2007.
Where is Samuel Tredemeyer located?
Samuel Tredemeyer practices at 4400 Long Prairie Rd, Flower Mound, TX 75028. The listed phone number is (469) 322-7481.
What is Samuel Tredemeyer's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Samuel Tredemeyer enrolled in Medicare?
Yes. Samuel Tredemeyer 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 Samuel Tredemeyer's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samuel Tredemeyer reassigns Medicare benefits to 4 organizations: Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI), Sound Inpatient Physicians-Michigan, PLLC (Kalamazoo, MI), Hospitalist Medicine Physicians Of Michigan, PLLC (Adrian, MI) and Covenant Medical Center, Inc. (Saginaw, MI). 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 Samuel Tredemeyer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Samuel Tredemeyer affiliated with any hospitals?
According to CMS data, Samuel Tredemeyer is affiliated with Mayo Clinic Health System - Mankato, Mayo Clinic Health System Eau Claire Hospital and Mayo Clinic Health System-Northland.
When was this NPI record last updated?
The NPPES record for Samuel Tredemeyer was last updated on October 15, 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.
# Samuel Tredemeyer, DO · NPI 1366570855
Internal Medicine physician in Flower Mound, Texas. Individual provider, active in the CMS NPPES registry since February 28, 2007.
## Identity
- **NPI:** 1366570855 (Entity type: Individual)
- **Enumerated:** February 28, 2007
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** P2386 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 4400 LONG PRAIRIE RD, Flower Mound, TX 75028-1892
- **Phone:** (469) 322-7481 · **Fax:** (469) 322-7807
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (NPI 1629056049, La Crosse, WI); Sound Inpatient Physicians-Michigan, PLLC (NPI 1093967861, Kalamazoo, MI); Hospitalist Medicine Physicians Of Michigan, PLLC (NPI 1013180181, Adrian, MI); Covenant Medical Center, Inc. (NPI 1831244466, Saginaw, MI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2004
## Record status
- **NPPES last updated:** October 15, 2024
- **Other identifiers:** Other D16150185 (MI)
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Source: [NPI Profile](https://npiprofile.com/npi/1366570855) · Data from the CMS NPPES public registry.