Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Samuel Tredemeyer, DO

Individual provider Internal Medicine Physician · NPI 1366570855

Samuel Tredemeyer, DO is a Family Practice in Flower Mound, Texas. Qualified in 2004, 22 years ago. Practices with Mayo Clinic Health System-Southwest Wisconsin Region Inc, a 552-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan, Texas and Wisconsin.

Years since qualifying
22
Licensed in
MI, TX, WI
In the registry since
2007
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

4400 Long Prairie Rd
Flower Mound, TX 75028-1892
Phone: (469) 322-7481
Fax: (469) 322-7807
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 800 West Ave South, La Crosse, WI 54601-8806 — (608) 785-0940

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence P2386 (TX)
Internal Medicine Physician Taxonomy 207R00000X · Licence 5101016014 (MI)
Family Medicine Physician Taxonomy 207Q00000X · Licence 2979 (WI)

Record details

NPI number1366570855
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedFebruary 28, 2007
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address4400 Long Prairie Rd, Flower Mound, TX 75028-1892

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Mayo Clinic Health System-Southwest Wisconsin Region Inc — 552 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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