Active NPI
Jide M Tinubu, MD
- Orthopaedic Trauma Physician
- Cheverly, MD
National Provider Identifier
1295991891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Trauma Physician
- License
- D74835
- Practice address
- 3001 Hospital Dr
Cheverly, MD 20785-1189 - Phone
- (301) 618-2160
- Fax
- (301) 618-3364
- NPI assigned
- Aug 3, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Trauma Physician | 207XX0801X | D74835 | MD | Primary |
Addresses
Primary practice location
3001 Hospital Dr
Cheverly, MD 20785-1189
Mailing address
22 S Greene St
S11B
Baltimore, MD 21201-1544
Phone (410) 328-4808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Howard University College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8603 Broadway St
Suite 103
Pearland, TX 77584-8172
Phone (713) 486-7580
Hospital & facility affiliations
- Enhabit Home Health
- Memorial Hermann Hospital System
- Memorial Hermann Northeast Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D74835 | MD | MD | Orthopaedic Trauma Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients |
Locations
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
10905 Memorial Hermann Dr
Pearland, TX 77584
Phone (713) 486-6000
8603 Broadway St
Ste 103
Pearland, TX 77584
Phone (281) 485-4770
8810 Highway 6
Ste 100
Sienna Plantation, TX 77459
Phone (713) 486-1200
9305 Pinecroft Dr
Ste 400
The Woodlands, TX 77380
Phone (713) 486-8800
Interoperability endpoints
- jtinubu12682@direct.uth.org
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Health Educator
- Houston, TX
- NPI 1316534472
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Houston, TX
- NPI 1306001243
-
- General Acute Care Hospital
- Humble, TX
- NPI 1295843787
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217721600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350604800000",
"number": "1295991891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 S GREENE ST",
"address_2": "S11B",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011544",
"telephone_number": "410-328-4808",
"fax_number": "410-328-9304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 HOSPITAL DR",
"city": "CHEVERLY",
"state": "MD",
"postal_code": "207851189",
"telephone_number": "301-618-2160",
"fax_number": "301-618-3364"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TINUBU",
"first_name": "JIDE",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-08-03",
"last_updated": "2012-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "MD",
"license": "D74835",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cheverly, MD
- Sean R Terwilliger, NP
- Princely Ambe Tetangmonwad
- Paulette J. Thompson, M.S., R.D., L.N.
- Vanessa Ange Thompson, PMHNP-BC
- Thrivemind Healthcare LLC
- Christine Anderson Torian, MPT, DPT
- Total Wellbeing Counseling Services, LLC
- Margaret Adrienne Truyens, CNM
- Elena Lydell Turner, LGSW
- Jacquelyn Tyson-Hope, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.