SAMANTHA JOSEPHINE MONTUNO TAN MD
NPI 1972999803
Internal Medicine in Indianapolis, IN
About Samantha Josephine Montuno Tan Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SAMANTHA JOSEPHINE MONTUNO TAN MD (NPI 1972999803) is an individual internal medicine provider in Indianapolis, Indiana, licensed in Indiana (01081224A) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent Kokomo, and is a graduate of Other (2011).
NPPES Registry Identity
Specialties & Licenses 3
Accepted 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
Samantha Josephine Montuno Tan 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 Reassignment
Medicare enrollment records show Samantha Josephine Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Indianapolis, IN 46260
- Reassigned Medicare billing, Indiana enrollment
- 510 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.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Ascension St Vincent Kokomo
Acute Care Hospitals · Kokomo, INAscension St Vincent Hospital
Acute Care Hospitals · Indianapolis, INPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 46260 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 4
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
INDIANAPOLIS, IN 46260
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 Samantha Josephine Tan's NPI number?
The NPI number for Samantha Josephine Tan is 1972999803. It was assigned to this individual provider in the NPPES registry on April 7, 2015.
Where is Samantha Josephine Tan located?
Samantha Josephine Tan practices at 2001 W 86th St, Indianapolis, IN 46260. The listed phone number is (317) 338-3634.
What is Samantha Josephine Tan's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Samantha Josephine Tan enrolled in Medicare?
Yes. Samantha Josephine Tan 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 organization bills Medicare for Samantha Josephine Tan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Samantha Josephine Tan reassigns Medicare benefits to St Vincent Physician Services Hospital And Health Care Center (Indianapolis, IN). The 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 Samantha Josephine Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Samantha Josephine Tan accept?
Health plans from CareSource list Samantha Josephine Tan 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.
Is Samantha Josephine Tan affiliated with any hospitals?
According to CMS data, Samantha Josephine Tan is affiliated with Ascension St Vincent Kokomo and Ascension St Vincent Hospital.
When was this NPI record last updated?
The NPPES record for Samantha Josephine Tan was last updated on September 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Samantha Josephine Montuno Tan, MD · NPI 1972999803
Internal Medicine physician in Indianapolis, Indiana. Individual provider, active in the CMS NPPES registry since April 7, 2015.
## Identity
- **NPI:** 1972999803 (Entity type: Individual)
- **Enumerated:** April 7, 2015
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 01081224A (Indiana)
- **Sole proprietor:** No
## Practice location
- **Address:** 2001 W 86TH ST, Indianapolis, IN 46260-1902
- **Phone:** (317) 338-3634
## 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:** St Vincent Physician Services Hospital And Health Care Center (NPI 1669422234, Indianapolis, IN), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** September 27, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1972999803) · Data from the CMS NPPES public registry.