JACOB TATUM
NPI 1528590916
Surgery in Baltimore, MD
About Jacob Tatum NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB TATUM (NPI 1528590916) is an individual surgery provider in Baltimore, Maryland, licensed in New Jersey (25MA11981800) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and maintains a secondary practice location in Norfolk.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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 Tatum 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jacob Tatum reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Iselin, NJ 08830
- Reassigned Medicare billing, New Jersey enrollment
- 29 clinicians in this Medicare group
Linden, NJ 07036
- Reassigned Medicare billing, New Jersey enrollment
- 60 clinicians in this Medicare group
Elizabeth, NJ 07202
- Reassigned Medicare billing, New Jersey enrollment
- 1,894 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.
Areas of Expertise CMS Part B claims 2
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Newark Beth Israel Medical Center
Acute Care Hospitals · Newark, NJRobert Wood Johnson University Hospital At Rahway
Acute Care Hospitals · Rahway, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21205 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
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 Tatum's NPI number?
The NPI number for Jacob Tatum is 1528590916. It was assigned to this individual provider in the NPPES registry on April 3, 2017.
Where is Jacob Tatum located?
Jacob Tatum practices at 720 Rutland Ave # Ross759, Baltimore, MD 21205. The listed phone number is (443) 287-6944.
What is Jacob Tatum's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Jacob Tatum enrolled in Medicare?
Yes. Jacob Tatum 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 Tatum's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Tatum reassigns Medicare benefits to 3 organizations: Avenel Iselin Medical Group, LLC (Iselin, NJ), Robert Wood Johnson Medical Associates At Hamilton PA (Linden, NJ) and Barnabas Health Medical Group PC (Elizabeth, NJ). 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 Tatum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jacob Tatum accept?
Health plans from Oscar Health list Jacob Tatum 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 Tatum affiliated with any hospitals?
According to CMS data, Jacob Tatum is affiliated with Newark Beth Israel Medical Center and Robert Wood Johnson University Hospital At Rahway.
When was this NPI record last updated?
The NPPES record for Jacob Tatum was last updated on February 19, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Jacob Tatum · NPI 1528590916
Surgery physician in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since April 3, 2017.
## Identity
- **NPI:** 1528590916 (Entity type: Individual)
- **Enumerated:** April 3, 2017
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 25MA11981800 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 720 RUTLAND AVE # ROSS759, Baltimore, MD 21205-2109
- **Phone:** (443) 287-6944
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Avenel Iselin Medical Group, LLC (NPI 1487674867, Iselin, NJ); Robert Wood Johnson Medical Associates At Hamilton PA (NPI 1619206828, Linden, NJ); Barnabas Health Medical Group PC (NPI 1841557246, Elizabeth, NJ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** February 19, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1528590916) · Data from the CMS NPPES public registry.