Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jacob Tatum

Individual provider Surgery Physician · NPI 1528590916

Jacob Tatum is a General Surgery in Baltimore, Maryland. Qualified in 2017, 9 years ago. Practices with Barnabas Health Medical Group PC, a 1,025-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
9
Licensed in
NJ
In the registry since
2017

Practice location Address checks out

720 Rutland Ave # ROSS759
Baltimore, MD 21205-2109
Phone: (443) 287-6944
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 825 Fairfax Ave, Norfolk, VA 23507-1914 — (757) 446-8937

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 25MA11981800 (NJ)

Record details

NPI number1528590916
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 3, 2017
Last updated in NPPESFebruary 19, 2025
Certification dateFebruary 19, 2025
Mailing address720 Rutland Ave # Ross759, Baltimore, MD 21205-2109

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Barnabas Health Medical Group Pc — 1025 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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