Individual provider Active NPI

Tobin D Rummel, D.O.

  • Family Medicine Physician
  • Trout Lake, WA
National Provider Identifier
1063733293
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
PG151477 Issued in OR
Practice address
4 Stoller Rd
Trout Lake, WA 98650-9712
Phone
(509) 395-2061
NPI assigned
Jun 22, 2010
Last updated
May 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 13, 2026

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 PG151477 OR Primary

Addresses

Primary practice location

4 Stoller Rd
Trout Lake, WA 98650-9712

Mailing address

4 Stoller Rd
Trout Lake, WA 98650-9712
Phone (509) 395-2061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Mar 29, 2017 through Mar 29, 2027

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PG151477ORMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ambassador's Health Alliance Family Medicine Current Accepting new patients

Locations

310 NW 5th St
Ste 206
Corvallis, OR 97330
Phone (541) 753-8997

Interoperability endpoints

  • Direct secure messaging: ambassadorshealthalliance.tobinrummel@136112.advancedmd-direct.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1277164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778630400000",
    "number": "1063733293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 STOLLER RD",
            "city": "TROUT LAKE",
            "state": "WA",
            "postal_code": "986509712",
            "telephone_number": "509-395-2061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 STOLLER RD",
            "city": "TROUT LAKE",
            "state": "WA",
            "postal_code": "986509712",
            "telephone_number": "509-395-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUMMEL",
        "first_name": "TOBIN",
        "middle_name": "D",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-22",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "PG151477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trout Lake, WA

Sources for this page

Verify at the official NPI Registry.