NAOMI RUTH ESTOLAS DE TABLAN D.P.M.
NPI 1679986970
Podiatrist - Foot & Ankle Surgery in Baltimore, MD
About Naomi Ruth Estolas De Tablan D.p.m. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NAOMI RUTH ESTOLAS DE TABLAN D.P.M. (NPI 1679986970) is an individual foot & ankle surgery provider in Baltimore, Maryland, licensed in Maryland (1736) and active in the NPI registry since June 2014. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Naomi Ruth Estolas De Tablan D.p.m. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Naomi Ruth De Tablan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Baltimore, MD 21224
- Reassigned Medicare billing, Maryland enrollment
- 4,483 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 6
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.
Johns Hopkins Hospital, The
Acute Care Hospitals · Baltimore, MDJohns Hopkins Bayview Medical Center
Acute Care Hospitals · Baltimore, MDMedicare 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.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Naomi Ruth De Tablan's NPI number?
The NPI number for Naomi Ruth De Tablan is 1679986970. It was assigned to this individual provider in the NPPES registry on June 4, 2014.
Where is Naomi Ruth De Tablan located?
Naomi Ruth De Tablan practices at 4940 Eastern Ave Fl 6, Baltimore, MD 21224. The listed phone number is (410) 550-0453.
What is Naomi Ruth De Tablan's specialty?
The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.
Is Naomi Ruth De Tablan enrolled in Medicare?
Yes. Naomi Ruth De Tablan is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Naomi Ruth De Tablan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Naomi Ruth De Tablan reassigns Medicare benefits to Johns Hopkins University (Baltimore, MD). The 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 Naomi Ruth De Tablan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Naomi Ruth De Tablan affiliated with any hospitals?
According to CMS data, Naomi Ruth De Tablan is affiliated with Johns Hopkins Hospital, The and Johns Hopkins Bayview Medical Center.
When was this NPI record last updated?
The NPPES record for Naomi Ruth De Tablan was last updated on November 17, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.
# Naomi Ruth Estolas De Tablan, D.P.M. · NPI 1679986970
Foot & Ankle Surgery provider in Baltimore, Maryland. Individual provider, active in the CMS NPPES registry since June 4, 2014.
## Identity
- **NPI:** 1679986970 (Entity type: Individual)
- **Enumerated:** June 4, 2014
- **Primary specialty:** Podiatrist - Foot & Ankle Surgery · taxonomy 213ES0103X
- **State license:** 1736 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4940 EASTERN AVE FL 6, Baltimore, MD 21224-2735
- **Phone:** (410) 550-0453 · **Fax:** (410) 367-3277
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** Johns Hopkins University (NPI 1306810619, Baltimore, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2014
## Record status
- **NPPES last updated:** November 17, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1679986970) · Data from the CMS NPPES public registry.