ANDREW BLAKE TUCKER MD
NPI 1861071664
Anesthesiology in Wailuku, HI
About Andrew Blake Tucker Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANDREW BLAKE TUCKER MD (NPI 1861071664) is an individual anesthesiology provider in Wailuku, Hawaii, licensed in Hawaii (MD-27127) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with Thomas Jefferson University Hospital, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Andrew Blake Tucker Md 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
2Medicare enrollment records show Andrew Tucker reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Bala Cynwyd, PA 19004
- Reassigned Medicare billing, Pennsylvania enrollment
- Medicare enrollment name: Methodist Associates In Healthcare, Inc
- 600 clinicians in this Medicare group
Philadelphia, PA 19107
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,739 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
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Thomas Jefferson University Hospital
Acute Care Hospitals · Philadelphia, PAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WAILUKU, HI 96793
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 Andrew Tucker's NPI number?
The NPI number for Andrew Tucker is 1861071664. It was assigned to this individual provider in the NPPES registry on April 7, 2021.
Where is Andrew Tucker located?
Andrew Tucker practices at 221 Mahalani St, Wailuku, HI 96793. The listed phone number is (808) 244-9056.
What is Andrew Tucker's specialty?
The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.
Is Andrew Tucker enrolled in Medicare?
Yes. Andrew Tucker 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 Andrew Tucker's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Tucker reassigns Medicare benefits to 2 organizations: Jefferson Community Physicians (Bala Cynwyd, PA) and Jefferson University Physicians (Philadelphia, PA). 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 Andrew Tucker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Andrew Tucker affiliated with any hospitals?
According to CMS data, Andrew Tucker is affiliated with Thomas Jefferson University Hospital.
When was this NPI record last updated?
The NPPES record for Andrew Tucker was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.
# Andrew Blake Tucker, MD · NPI 1861071664
Anesthesiology physician in Wailuku, Hawaii. Individual provider, active in the CMS NPPES registry since April 7, 2021.
## Identity
- **NPI:** 1861071664 (Entity type: Individual)
- **Enumerated:** April 7, 2021
- **Primary specialty:** Anesthesiology · taxonomy 207L00000X
- **State license:** MD-27127 (Hawaii)
- **Sole proprietor:** No
## Practice location
- **Address:** 221 MAHALANI ST, Wailuku, HI 96793-2526
- **Phone:** (808) 244-9056
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Jefferson Community Physicians (NPI 1891587036, Bala Cynwyd, PA); Jefferson University Physicians (NPI 1326093675, Philadelphia, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** July 10, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1861071664) · Data from the CMS NPPES public registry.