1. Home
  2. Directory
  3. Maryland
  4. Baltimore
  5. Podiatrist
  6. NPI Profile

NAOMI RUTH ESTOLAS DE TABLAN D.P.M.
NPI 1679986970
Podiatrist - Foot & Ankle Surgery in Baltimore, MD

Active since June 04, 2014PECOS Enrolled
74.39/100
CMS Quality Rating
4940 EASTERN AVE FL 6, BALTIMORE, MD 21224(410) 550-0453(410) 367-3277 Get Directions Write a Review

NPPES record last updated: November 17, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 17, 2022, Oct 21, 2021, Jan 25, 2021 and 1 more (4 updates tracked since 2017).

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

NPI1679986970
Entity TypeIndividualFemale
Primary Taxonomy213ES0103X
Provider Legal NameNAOMI RUTH ESTOLAS DE TABLANCredential: D.P.M.
Location Address4940 EASTERN AVE FL 6Baltimore, MD 21224-2735
Mailing Address4940 Eastern Ave Fl 6Baltimore, MD 21224-2780 · (410) 550-0453 · Fax (410) 367-3277
Phone(410) 550-0453
Fax(410) 367-3277
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 4, 2014
Last NPPES UpdateNovember 17, 20224 updates tracked since enumeration
NPPES CertifiedNovember 17, 2022
✔ NPI 1679986970 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in MD · 1736
4940 EASTERN AVE FL 6, Baltimore, MD 21224
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

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).

PECOS PAC ID1850668542
PECOS Enrollment IDI20220825001682
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.

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
210 services114 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
185 services185 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
86 services86 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
67 services62 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services36 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
12 services11 patients

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, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Johns Hopkins Bayview Medical Center

Acute Care Hospitals · Baltimore, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210029
Location4940 Eastern AvenueBaltimore, MD 21224 · Baltimore City County
Emergency services Birthing friendly

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.

74.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.71
Promoting Interoperability97
Improvement Activities40
Cost52.43

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. LEE W GUO O.D.
Optometrist
4940 EASTERN AVE FL 6
BALTIMORE, MD 21224
Baltimore City (410) 550-2362

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.

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.