JUSTINN TANEM
NPI 1780950964
Anesthesiology - Pediatric Anesthesiology in Milwaukee, WI

Q: What is Justinn Tanem's NPI number?

The NPI number for Justinn Tanem is 1780950964. It was assigned to this individual provider in the NPPES registry on April 1, 2012.

Q: What is Justinn Tanem's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.

Q: When was this NPI record last updated?

The NPPES record for Justinn Tanem was last updated on April 23, 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.

Active since April 01, 2012PECOS EnrolledAccepts Medicare Assignment

80.46/100

CMS Quality Rating

9000 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 266-3560(414) 266-6092 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 23, 2024, May 31, 2019 (2 updates tracked since 2019).

On this page

About Justinn Tanem NPPES

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

JUSTINN TANEM (NPI 1780950964) is an individual pediatric anesthesiology provider in Milwaukee, Wisconsin, licensed in Wisconsin (61773) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Medical College Of Wisconsin (2012).

NPPES Registry Identity

NPI1780950964

Entity TypeIndividualMale

Primary Taxonomy207LP3000X

Provider Legal NameJUSTINN TANEM

Location Address9000 W WISCONSIN AVEMilwaukee, WI 53226-4874

Mailing Address9000 W Wisconsin AveMilwaukee, WI 53226-4874 · (414) 266-3560 · Fax (414) 266-6092

Phone(414) 266-3560

Fax(414) 266-6092

Sole ProprietorNo

Medical School CMSMedical College Of WisconsinGraduated 2012

Enumeration DateApril 1, 2012

Last NPPES UpdateApril 23, 20242 updates tracked since enumeration

NPPES CertifiedApril 23, 2024

✔ NPI 1780950964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pediatric AnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207LP3000X

License✔ Licensed in WI · 61773

Definition

An anesthesiologist who has had additional skill and experience in and is primarily concerned with the anesthesia, sedation, and pain management needs of infants and children. A pediatric anesthesiologist generally provides services including the evaluation of complex medical problems in infants and children when surgery is necessary, planning and care for children before and after surgery, pain control, anesthesia and sedation for any procedures out of the operating room such as MRI, CT scan, and radiation therapy.

9000 W WISCONSIN AVE, Milwaukee, WI 53226

Open in Google Maps ↗

Secondary Practice Locations 2

Location 18345 Gridley AveWauwatosa, WI 53213-3041 · Phone (608) 698-3100

Location 29200 W Wisconsin AveMilwaukee, WI 53226-3522 · Phone (414) 805-8700 · Fax (414) 259-1522

Other Identifiers 1

Medicaid1780950964WI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource (Common Ground Healthcare), Group Health Cooperative-SCW.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Justinn Tanem 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 ID3779802228

PECOS Enrollment IDI20190530000038

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53226 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$123.69 typical visit price

range $53.90 – $163.24

Typical copayment $30.92 (range $13.47 – $40.81)

Most-billed visit code 99204

Established Patient

$67.37 typical visit price

range $17.40 – $133.76

Typical copayment $16.84 (range $4.35 – $33.44)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

80.46/100

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

Scored as part of a group practice

Quality

66.24

Promoting Interoperability

100

Improvement Activities

Cost

68.64

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.

MS. LESLIE L. TALBERT NP

Nurse Practitioner (Pediatrics)

9000 W WISCONSIN AVE, PEDIATRIC CRITICAL CARE
MILWAUKEE, WI 53226

Milwaukee County (414) 266-3360

SARAH MARIE RUMLER DO

Pediatrics (Pediatric Hematology-Oncology)