Active NPI
Tristan Danielle Tobias, PA-C
- Physician Assistant
- Scarborough, ME
National Provider Identifier
1003569203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 153 US Route 1
Scarborough, ME 04074-9052 - Phone
- (207) 799-8596
- NPI assigned
- Jan 28, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5601011025 | MI | |
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
153 US Route 1
Scarborough, ME 04074-9052
Mailing address
153 US Route 1
Scarborough, ME 04074-9052
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in ME
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2021
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
153 US Route 1
Scarborough, ME 04074-9052
Phone (207) 799-8596
74 Baribeau Dr
Brunswick, ME 04011-3218
Phone (207) 798-4050
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Martin'S Point Health Care, Inc. | Physician Assistant | Current | Accepting new patients |
Locations
331 Veranda St
Portland, ME 04103
Phone (207) 774-5801
153 US Route 1
Scarborough, ME 04074
Phone (207) 799-8596
Interoperability endpoints
- tristan.tobias.1@5857.direct.athenahealth.com
- https://api.platform.athenahealth.com/5857/brand/1/csg/1/fhir/r4
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Portland, ME
- NPI 1366474611
Physician Assistant
Hospital & facility affiliations 38
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Scarborough, ME
- NPI 1053647024
-
- General Acute Care Hospital
- Portland, ME
- NPI 1346267879
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1003569203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "153 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "153 US ROUTE 1",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040749052",
"telephone_number": "207-799-8596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIAS",
"first_name": "TRISTAN",
"middle_name": "DANIELLE",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-01-28",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601011025",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scarborough, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.