DR. MAAMOON TAMMAA (MD) – Neurology Physician, NPI 1740497908

DR. MAAMOON TAMMAA (MD) is a healthcare provider. based in Indianapolis, Indiana. specializing in NEUROLOGY, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. MD60142077 (WA). The NPI Number for DR. MAAMOON TAMMAA (MD) is 1740497908

Main info

Male
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. MAAMOON TAMMAA (MD)
NPI
1740497908
Phone
(317) 962-4942
Address
250 N SHADELAND AVE STE 200
Enumeration Date
17 May 2007
Last Update Date
8 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8884843258
Graduation Year
1998 (28 years ago)
PAC ID
7012031297
Group Practice PAC ID
9638617913
Professional Enrollment ID
I20210609001617
Address ID
IN462021239IN1701XBLVD400

Contacts

Secure Messaging
mtammaa573453@wm.providencedirect.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience81
Completeness85
Years active:19State licenses:2Other namesUpdated within 12 months

590 NEUROLOGY in WA

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Provider Addresses for DR. MAAMOON TAMMAA (MD)

  • 250 N SHADELAND AVE STE 200

    INDIANAPOLIS, IN 462194959

    Phone: (317) 962-4942

    Type: Mailing

  • 3900, South Zintel Way, Tri-Cities, Benton County, Washington, 99337, United States

    KENNEWICK, WA 993375092

    Phone: (509) 942-3627

    Fax: (509) 942-2268

    Type: Mailing

  • Kadlec Clinic, 1100, Goethals Drive, Richland, Benton County, Washington, 99352, United States

    1ST FLOOR

    RICHLAND, WA 993523304

    Phone: (509) 946-7931

    Fax: (509) 946-7223

    Type: Location

  • 11725 ILLINOIS ST

    CARMEL, IN 460323008

    Phone: (317) 948-5450

    Type: Location

  • 1100 Goethals Dr Ste B

    Richland, WA 993523301

    Phone: (509) 942-3080

    Fax: (509) 942-3085

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $145.

Total Amount is formed as General ($145) + Research ($0) + Ownership ($0) = $145.

Last reported payment date: 2023-08-29 • Largest payer in this snapshot: LivaNova USA, Inc. ($145).

Total Amount

$145

General + Research + Ownership

Payments

1

Total payment records

General Amount

$145

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-08-29

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
LivaNova USA, Inc.$145
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-06-09

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210609001617INeurologyINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes349164$0
99204New patient office or other outpatient visit, 45-59 minutes8686$0
99205New patient office or other outpatient visit, 60-74 minutes5454$0
99215Established patient office or other outpatient visit, 40-54 minutes4836$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes4031$0
View full utilization report →

Insurance plans in this area (ZIP 46219)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9638617913View full group profile
NameSpecialtyState
Pediatric MedicineNC
U R O L O G YIN
Diagnostic Radiology, Interventional RadiologyNY
Nurse PractitionerIN
P A T H O L O G YIN
O T O L A R Y N G O L O G YIN
E N D O C R I N O L O G YIN
Family Practice, Sports MedicineIN
Gastroenterology, Internal MedicineIN
Orthopedic SurgeryMO

Reviews

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Frequently asked questions

What number should I use to identify DR. MAAMOON TAMMAA (MD) for billing?
Administrative and clinical systems typically use NPI 1740497908 for DR. MAAMOON TAMMAA (MD).
Should I treat DR. MAAMOON TAMMAA (MD) as an active provider?
Patients and plans typically see DR. MAAMOON TAMMAA (MD) as active in the national extract.
What services align with DR. MAAMOON TAMMAA (MD)'s listing?
DR. MAAMOON TAMMAA (MD)'s public classification highlights Neurology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. MAAMOON TAMMAA (MD)?
DR. MAAMOON TAMMAA (MD) shows a connection to Indianapolis, Indiana in registry-derived data.
Who maintains DR. MAAMOON TAMMAA (MD)'s record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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