Individual provider Active NPI

Andrew A Tobon, MD

  • Urology Physician
  • San Antonio, TX
National Provider Identifier
1174503106
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
J3384 Issued in TX
Practice address
3327 Research PLZ
Suite # 403
San Antonio, TX 78235-5155
Phone
(210) 474-7020
Fax
(210) 679-3734
NPI assigned
Jan 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X J3384 TX Primary

Addresses

Primary practice location

3327 Research PLZ
Suite # 403
San Antonio, TX 78235-5155

Mailing address

7909 Fredericksburg Rd
Suite#110
San Antonio, TX 78229-3425
Phone (210) 614-4544

Other identifiers 1

IdentifierTypeStateIssuer
041767701MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180604002591 MD Practitioner - Urology 5991691040 Reassigns benefits to 1 organization
I20230622002114 DC Practitioner - Urology 5991691040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Baylor College of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

5530 Wisconsin Ave
1150 Chvy CHS Pulm Assoc
Chevy Chase, MD 20815-4404
Phone (301) 656-7374

9470 Annapolis Rd
Suite 309
Lanham, MD 20706-3022
Phone (202) 832-1800

950 N Glebe Rd
Suite 700
Arlington, VA 22203-4173

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J3384TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC CurrentSince May 9, 2023 Accepting new patients
Privia Medical Group, LLC CurrentSince May 9, 2023 Accepting new patients
Monocacy Health Partners LLC CurrentSince Jun 1, 2018 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Jun 1, 2018 Accepting new patients
Frederick Health Medical Group LLC Urology Current Accepting new patients
Medical Associates of Central Virginia, Inc. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

1147 20th St NW
Ste 400
Washington, DC 20036
Phone (202) 223-1024

5530 Wisconsin Ave
Ste 1510
Chevy Chase, MD 20815
Phone (301) 654-5530

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

9470 Annapolis Rd
Ste 309
Lanham, MD 20706
Phone (202) 832-1800

950 N Glebe Rd
Ste 700
Arlington, VA 22203
Phone (484) 228-1065

Interoperability endpoints

  • Direct secure messaging: andrew.tobon.1@8042.direct.athenahealth.com
  • Direct secure messaging: atobon2708866@direct.trinity-health.org

Organizations & group practices 7

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.

Hospital & facility affiliations 3

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1174503106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7909 FREDERICKSBURG RD",
            "address_2": "SUITE#110",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293425",
            "telephone_number": "210-614-4544",
            "fax_number": "210-679-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3327 RESEARCH PLZ",
            "address_2": "SUITE # 403",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782355155",
            "telephone_number": "210-474-7020",
            "fax_number": "210-679-3734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBON",
        "first_name": "ANDREW",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "J3384",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "041767701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.