Samuel George Tambeaux, RDN, LDN
NPI 1124672654ActiveIndividual· Dietitian, Registered· Michigan City, IN
Dietitian, Registered (RDN, LDN) in Michigan City, Indiana, licensed in IN and IL, with an NPI issued in August 2019.
Overview
| NPI | 1124672654 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | RDN, LDN |
| Sole proprietor | No |
| NPI issued | Aug 1, 2019 |
| Last updated in NPPES | Oct 12, 2021 |
| Certified by provider | Oct 12, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dietitian, Registered Primary | 133V00000X | 37003128A | IN |
| Dietitian, Registered | 133V00000X | 164.007751 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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