JUSTINN TANEM
NPI 1780950964
Anesthesiology - Pediatric Anesthesiology in Milwaukee, WI
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 and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Justinn Tanem is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Justinn Tanem reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Childrens Specialty Group Inc
- 424 clinicians in this Medicare group
Milwaukee, WI 53226
- Reassigned Medicare billing, Wisconsin enrollment
- 3,983 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.
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.
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.
MILWAUKEE, WI 53226
MILWAUKEE, WI 53226
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 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.
Where is Justinn Tanem located?
Justinn Tanem practices at 9000 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 266-3560.
What is Justinn Tanem's specialty?
The primary specialty registered for this NPI is Anesthesiology, specializing in Pediatric Anesthesiology, with taxonomy code 207LP3000X.
Is Justinn Tanem enrolled in Medicare?
Yes. Justinn Tanem is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Justinn Tanem's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Justinn Tanem reassigns Medicare benefits to 2 organizations: Children's Specialty Group, Inc. (Milwaukee, WI) and The Medical College Of Wisconsin, Inc. (Milwaukee, WI). 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 Justinn Tanem's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Justinn Tanem accept?
Health plans from CareSource (Common Ground Healthcare) and Group Health Cooperative-SCW list Justinn Tanem 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 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.
# Justinn Tanem · NPI 1780950964
Pediatric Anesthesiology physician in Milwaukee, Wisconsin. Individual provider, active in the CMS NPPES registry since April 1, 2012.
## Identity
- **NPI:** 1780950964 (Entity type: Individual)
- **Enumerated:** April 1, 2012
- **Primary specialty:** Anesthesiology - Pediatric Anesthesiology · taxonomy 207LP3000X
- **State license:** 61773 (Wisconsin)
- **Sole proprietor:** No
## Practice location
- **Address:** 9000 W WISCONSIN AVE, Milwaukee, WI 53226-4874
- **Phone:** (414) 266-3560 · **Fax:** (414) 266-6092
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Children's Specialty Group, Inc. (NPI 1942970405, Milwaukee, WI); The Medical College Of Wisconsin, Inc. (NPI 1699720086, Milwaukee, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 23, 2024
- **Other identifiers:** Medicaid 1780950964 (WI)
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Source: [NPI Profile](https://npiprofile.com/npi/1780950964) · Data from the CMS NPPES public registry.