DR. TINA JACOB MD
NPI 1851914675
Family Medicine in Nottingham, MD
About Dr. Tina Jacob Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. TINA JACOB MD (NPI 1851914675) is an individual family medicine provider in Nottingham, Maryland, licensed in Maryland (D0098428) and active in the NPI registry since May 2020. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in Lubbock.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
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
Dr. Tina Jacob 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.
Medicare Billing Reassignment
Medicare enrollment records show Tina Jacob reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Nottingham, MD 21236
- Reassigned Medicare billing, Maryland enrollment
- 952 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 10
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 3
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, MDUmd Upper Chesapeake Medical Center
Acute Care Hospitals · Bel Air, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 21236 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.
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.
NOTTINGHAM, MD 21236
NOTTINGHAM, MD 21236
BALTIMORE, MD 21236
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 Tina Jacob's NPI number?
The NPI number for Tina Jacob is 1851914675. It was assigned to this individual provider in the NPPES registry on May 27, 2020.
Where is Tina Jacob located?
Tina Jacob practices at 4924 Campbell Blvd, Nottingham, MD 21236. The listed phone number is (410) 955-5000.
What is Tina Jacob's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Tina Jacob enrolled in Medicare?
Yes. Tina Jacob 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 organization bills Medicare for Tina Jacob's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Tina Jacob reassigns Medicare benefits to Johns Hopkins Community Physicians, Inc (Nottingham, 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 Tina Jacob's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Tina Jacob affiliated with any hospitals?
According to CMS data, Tina Jacob is affiliated with Johns Hopkins Hospital, The, Johns Hopkins Bayview Medical Center and Umd Upper Chesapeake Medical Center.
When was this NPI record last updated?
The NPPES record for Tina Jacob was last updated on December 15, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Tina Jacob, MD · NPI 1851914675
Family Medicine physician in Nottingham, Maryland. Individual provider, active in the CMS NPPES registry since May 27, 2020.
## Identity
- **NPI:** 1851914675 (Entity type: Individual)
- **Enumerated:** May 27, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** D0098428 (Maryland)
- **Sole proprietor:** No
## Practice location
- **Address:** 4924 CAMPBELL BLVD, Nottingham, MD 21236-5908
- **Phone:** (410) 955-5000
## 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:** Johns Hopkins Community Physicians, Inc (NPI 1194546192, Nottingham, MD), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2018
## Record status
- **NPPES last updated:** December 15, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1851914675) · Data from the CMS NPPES public registry.