JACOB EZRA TALLMAN MD
NPI 1386141174
Urology in Chicago, IL

Active since April 09, 2018PECOS EnrolledAccepts Medicare Assignment
5841 S MARYLAND AVE, CHICAGO, IL 60637(888) 824-0200 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 10, 2025, Sep 18, 2025, Jun 14, 2024 and 2 more (5 updates tracked since 2018).

About Jacob Ezra Tallman Md NPPES

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

JACOB EZRA TALLMAN MD (NPI 1386141174) is an individual urology provider in Chicago, Illinois, licensed in Illinois (036176423) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with The University Of Chicago Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1386141174
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJACOB EZRA TALLMANCredential: MD
Location Address5841 S MARYLAND AVEChicago, IL 60637-1443
Mailing Address150 Harvester Dr Ste 300Burr Ridge, IL 60527-5965
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2018
Enumeration DateApril 9, 2018
Last NPPES UpdateNovember 10, 20255 updates tracked since enumeration
NPPES CertifiedNovember 10, 2025
✔ NPI 1386141174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in IL · 036176423✔ Licensed in NY · 318971-01✔ Licensed in IN · 01096755A
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
5841 S MARYLAND AVE, Chicago, IL 60637

Secondary Practice Locations 2

Location 110855 Virginia StCrown Point, IN 46307-0210 · Phone (888) 824-0200
Location 21275 York AveNew York, NY 10065-6007 · Phone (646) 422-4300

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

Jacob Ezra Tallman 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.

PECOS PAC ID9133473432
PECOS Enrollment IDI20250930001518, I20251114001848
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Jacob Tallman reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
5841 S MARYLAND AVE
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois enrollment
  • 1,905 clinicians in this Medicare group
Multi-Specialty
5841 S MARYLAND AVE, UCPG/MC 1099
Chicago, IL 60637
  • Reassigned Medicare billing, Illinois and Indiana enrollments
  • 2,237 clinicians in this Medicare group
Surgical Oncology
1275 YORK AVE
New York, NY 10021
  • Reassigned Medicare billing, New York enrollment
  • 452 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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The University Of Chicago Medical Center

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140088
Location5841 South MarylandChicago, IL 60637 · Cook County
Emergency services Birthing friendly

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
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.

Radiology (Diagnostic Radiology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Neurological Surgery
5841 S MARYLAND AVE
CHICAGO, IL 60637
Pathology (Hematology)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637
Internal Medicine (Pulmonary Disease)
5841 S MARYLAND AVE
CHICAGO, IL 60637

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 Jacob Tallman's NPI number?

The NPI number for Jacob Tallman is 1386141174. It was assigned to this individual provider in the NPPES registry on April 9, 2018.

Where is Jacob Tallman located?

Jacob Tallman practices at 5841 S Maryland Ave, Chicago, IL 60637. The listed phone number is (888) 824-0200.

What is Jacob Tallman's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Jacob Tallman enrolled in Medicare?

Yes. Jacob Tallman 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 organizations bill Medicare for Jacob Tallman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Tallman reassigns Medicare benefits to 3 organizations: The University Of Chicago Medical Center (Chicago, IL), University Of Chicago (Chicago, IL) and Mskcc Surgery Group (New York, NY). Each 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 Jacob Tallman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Tallman accept?

Health plans from Oscar Health list Jacob Tallman 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 Jacob Tallman affiliated with any hospitals?

According to CMS data, Jacob Tallman is affiliated with The University Of Chicago Medical Center and Ingalls Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Jacob Tallman was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.