JACOB EZRA TALLMAN (MD) – Urology Physician, NPI 1386141174
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
313 UROLOGY in TN
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Provider Addresses for JACOB EZRA TALLMAN (MD)
150 HARVESTER DR STE 300
BURR RIDGE, IL 605275965
Phone:
Type: Mailing
1161, 21st Avenue South, Nashville, Davidson County, Tennessee, 37212, United States
A-1302 MEDICAL CENTER NORTH
NASHVILLE, TN 372322765
Phone: (615) 322-2880
Fax: (615) 343-9815
Type: Location
10855 Virginia St
Crown Point, IN 463070210
Phone: (888) 824-0200
Type: Location
1275 York Ave
New York, NY 100656007
Phone: (646) 422-4300
Type: Location
5841 S MARYLAND AVE
CHICAGO, IL 606371443
Phone: (888) 824-0200
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 10 Open Payments records for all available years, with a total value of $594.
Total Amount is formed as General ($594) + Research ($0) + Ownership ($0) = $594.
Last reported payment date: 2024-12-04 • Largest payer in this snapshot: Olympus Corporation of the Americas ($303).
Total Amount
$594
General + Research + Ownership
Payments
10
Total payment records
General Amount
$594
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-04
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Olympus Corporation of the Americas | $303 |
| Janssen Biotech, Inc. | $149 |
| Baxter Healthcare | $142 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-11-14
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240808004467 | I | Urology | NY | TBD |
| I20250930001518 | I | Urology | IL | TBD |
| I20251114001848 | I | Urology | IN | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60527)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Gynecological Oncology, Obstetrics/Gynecology | WI | |
| Surgical Oncology | NY | |
| Maxillofacial Surgery | NY | |
| Nurse Practitioner | NY | |
| U R O L O G Y | NY | |
| - | NY | |
| Physician Assistant | NY | |
| Oral Surgery | NY | |
| Physician Assistant | NY | |
| Physician Assistant | NJ |
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