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

Jonathan David Tatum

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1285138586

Jonathan David Tatum is a Pediatric Medicine in Providence, Rhode Island. Graduated from Tulane University School of Medicine in 2018, 8 years ago. Practices with Rhode Island Hospital, a 428-clinician group and accepts Medicare assignment. Licensed in Rhode Island.

Years since qualifying
8
Trained at
Tulane University School of Medicine
Licensed in
RI
In the registry since
2018
Specialties on file
2
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Practice location Address checks out

111 Plain Street 3rd Fl Ste 101
Providence, RI 02902-3026
Phone: (401) 444-5504
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Endocrinology Physician (primary) Taxonomy 2080P0205X · Licence MD19694 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1285138586
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 21, 2018
Last updated in NPPESAugust 6, 2024
Certification dateAugust 6, 2024
Mailing address117 Ellenfield St Ste 101, Providence, RI 02905-4541

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Also practisesENDOCRINOLOGY
Medical schoolTULANE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2018 (8 years in practice)
Group practice Rhode Island Hospital — 428 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Providence