NPIMap

Individual provider Active NPI

Robert Theodore Toborg, M.D.

  • Family Medicine Physician
  • Winston-Salem, NC
National Provider Identifier
1003813650
Registry record updated Mar 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
9901057 Issued in NC
Practice address
3333 Brookview Hills Blvd
Ste 204
Winston-Salem, NC 27103-5661
Phone
(336) 774-3740
Fax
(336) 774-3780
NPI assigned
Jun 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 9901057 NC Primary

Addresses

Primary practice location

3333 Brookview Hills Blvd
Ste 204
Winston-Salem, NC 27103-5661

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-4820

Other identifiers 3

IdentifierTypeStateIssuer
P00457727OtherNCRAILROAD MEDICARE
9901057OtherNCMEDICAL LICENSE NUMBER
89129Y3MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rtoborg5396@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040914000179 NC Practitioner - Family Practice 9032186648 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Forsyth Memorial Hospital IncGroup PAC ID 9537071790, 622 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

3333 Brookview Hills Blvd
Suite 204
Winston Salem, NC 27103-5661
Phone (336) 774-3740

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

  • Bayada Home Health Care, Inc Home health agency, Winston-Salem, NC, CCN 347187
  • Adoration Home Health Home health agency, Winston-Salem, NC, CCN 347005
  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
  • Novant Health Thomasville Medical Center Hospital, Thomasville, NC, CCN 340085

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9901507NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. Family Medicine Current Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 19, 2023 Accepting new patients
Forsyth Memorial Hospital Inc Family Medicine CurrentSince Jun 1, 2007 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jun 1, 2007 Accepting new patients
Marlette Family Practice, PA Family Medicine Past Accepting new patients
Forsyth Memorial Hospital, Inc Family Medicine Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

4611 Yadkinville Rd
Pfafftown, NC 27040
Phone (336) 718-7600

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

3333 Brookview Hills Blvd
Winston Salem, NC 27103
Phone (336) 765-1464

3333 Brookview Hills Blvd
Ste 204
Winston Salem, NC 27103
Phone (336) 714-2730

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Networks

  • devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
  • TN PPO C-SNP
  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1
  • TN PPO
  • devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e

Interoperability endpoints

  • Direct secure messaging: rtoborg5396@direct.novanthealth.org

Organizations & group practices 8

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1119916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679443200000",
    "number": "1003813650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-718-4820",
            "fax_number": "704-384-7830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BROOKVIEW HILLS BLVD",
            "address_2": "STE 204",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271035661",
            "telephone_number": "336-774-3740",
            "fax_number": "336-774-3780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBORG",
        "first_name": "ROBERT",
        "middle_name": "THEODORE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-28",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9901057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00457727",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE NUMBER",
            "identifier": "9901057",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89129Y3",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rtoborg5396@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3333 Brookview Hills Blvd",
            "address_2": "Ste 204",
            "city": "Winston-Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271035661",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

Verify at the official NPI Registry.