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ROB TATUM
NPI 1366024143
Surgery - Vascular Surgery in Burlington, VT

Active since April 22, 2021PECOS Enrolled
111 COLCHESTER AVE, BURLINGTON, VT 05401(802) 847-2345 Get Directions Write a Review

NPPES record last updated: April 28, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 28, 2026, Apr 22, 2021 (2 updates tracked since 2021).

About Rob Tatum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROB TATUM (NPI 1366024143) is an individual vascular surgery provider in Burlington, Vermont, licensed in Pennsylvania (MT232505) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1366024143
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameROB TATUM
Location Address111 COLCHESTER AVEBurlington, VT 05401-1473
Mailing Address3401 N Broad StPhiladelphia, PA 19140-5189 · (202) 680-8859
Phone(802) 847-2345
Sole ProprietorNo
Enumeration DateApril 22, 2021
Last NPPES UpdateApril 28, 20262 updates tracked since enumeration
NPPES CertifiedApril 28, 2026
✔ NPI 1366024143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in PA · MT232505
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
111 COLCHESTER AVE, Burlington, VT 05401
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Secondary Practice Location 1

Location 13401 N Broad StPhiladelphia, PA 19140-5189 · Phone (202) 680-8859

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rob Tatum is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05401 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.89 typical visit price
range $55.80 – $168.48
Typical copayment $21.47 (range $13.95 – $42.12)
Most-billed visit code 99203
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

ELENA KOZAKEWICH
Internal Medicine (Pulmonary Disease)
111 COLCHESTER AVE, UVM MEDICAL CENTER, DEPT OF INTERNAL MEDICINE, 222WP2
BURLINGTON, VT 05401
Chittenden County (802) 847-2700
ANDREW HUY NGUYEN MD
Radiology (Diagnostic Radiology)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
DR. KELLY CURTIS BLANCHET MD
Pediatrics
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
LINDSAY ANNE CALDARONE MD
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
SHAWN LANSING
Student in an Organized Health Care Education/Training Program
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2345
HANNA S LOVING PHD
Pathology (Clinical Laboratory Director, Non-physician)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-5121
KAITLYN MARIE DILLON DNP, APRN, FNP-C
Registered Nurse (Medical-Surgical)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-0000
MS. MERJA CAHOON NNP
Nurse Practitioner (Neonatal)
111 COLCHESTER AVE
BURLINGTON, VT 05401
Chittenden County (802) 847-2370

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 Rob Tatum's NPI number?

The NPI number for Rob Tatum is 1366024143. It was assigned to this individual provider in the NPPES registry on April 22, 2021.

Where is Rob Tatum located?

Rob Tatum practices at 111 Colchester Ave, Burlington, VT 05401. The listed phone number is (802) 847-2345.

What is Rob Tatum's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Rob Tatum enrolled in Medicare?

Yes. Rob Tatum is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rob Tatum was last updated on April 28, 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.