Individual provider Active NPI

Gary Tobis, M.D.

  • Internal Medicine Physician
  • Tequesta, FL
National Provider Identifier
1174580617
Registry record updated Nov 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME44113 Issued in FL
Practice address
399 Tequesta Dr
Suite 102
Tequesta, FL 33469-3087
Phone
(561) 747-5533
Fax
(561) 747-6599
NPI assigned
Apr 27, 2006
Last updated
Nov 16, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME44113 FL Primary

Addresses

Primary practice location

399 Tequesta Dr
Suite 102
Tequesta, FL 33469-3087

Mailing address

399 Tequesta Dr
Suite 102
Tequesta, FL 33469-3087
Phone (561) 747-5533

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090106000686 FL Practitioner - Internal Medicine 9133282817 Practice locations: Tequesta, FL

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME44113FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jupiter Medical Center Physicians Group Inc Past Accepting new patients
Gary Tobis MD PA Internal Medicine PastSince Jan 1, 2011 Accepting new patients

Organizations & group practices 2

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": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321401600000",
    "number": "1174580617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "399 TEQUESTA DR",
            "address_2": "SUITE 102",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334693087",
            "telephone_number": "561-747-5533",
            "fax_number": "561-747-6599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 TEQUESTA DR",
            "address_2": "SUITE 102",
            "city": "TEQUESTA",
            "state": "FL",
            "postal_code": "334693087",
            "telephone_number": "561-747-5533",
            "fax_number": "561-747-6599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIS",
        "first_name": "GARY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2011-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME44113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tequesta, FL

Sources for this page

Verify at the official NPI Registry.