Adam G Tattelbaum, M.D.

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

D0045135 Issued in MD

Practice address

3203 Tower Oaks Blvd
#200
Rockville, MD 20852-4258

Phone

(301) 656-6398

NPI assigned

May 28, 2006

Last updated

Jan 4, 2021By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Surgery Center of Potomac LLC

  • Ambulatory Surgical Clinic/Center
  • Rockville, MD
  • NPI 1710079470
  NPD (past) Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1578510202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9517 ACCORD DR",
            "city": "POTOMAC",
            "state": "MD",
            "postal_code": "208544302",
            "telephone_number": "301-656-6398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3203 TOWER OAKS BLVD",
            "address_2": "#200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208524258",
            "telephone_number": "301-656-6398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATTELBAUM",
        "first_name": "ADAM",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "VA",
            "license": "0101053872",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "DC",
            "license": "MD20198",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MA",
            "license": "80944",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "MD",
            "license": "D0045135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evanus Tataw Tanyi
• Javis Tataw
• Sylvin Tatchueng
• Celecia Tate
• Janiesha Tate
• Qeanna Tatum-Bridges
• Latoya Tatum
• Christina Taupyen
• Delara Tavakoli, MD
• Melissa Marie Tavares

• Plastic Surgery Physician in Rockville, MD
• Providers in Rockville, MD by specialty
• Plastic Surgery Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.