Individual provider Active NPI

Katherine Mary Tobin, M.D.

  • Diagnostic Radiology Physician
  • Portsmouth, NH
National Provider Identifier
1316922057
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12977 Issued in NH
Practice address
579 Sagamore Ave
Unit 60
Portsmouth, NH 03801-5584
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Dec 14, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD00045643 WA
Diagnostic Radiology Physician 2085R0202X 12977 NH Primary

Addresses

Primary practice location

579 Sagamore Ave
Unit 60
Portsmouth, NH 03801-5584

Mailing address

11995 Singletree LN
Suite 500
Eden Prairie, MN 55344-5347
Phone (952) 595-1301

Other names 1

  • Katherine Mary Dugan Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20161109001745 NH Practitioner - Diagnostic Radiology 9133147655 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00045643WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Littleton Hospital Association CurrentSince Sep 1, 2016 Accepting new patients
Geisinger-HM Joint Venture, LLC CurrentSince Dec 29, 2019 Accepting new patients
Geisinger-HM Joint Venture LLC Diagnostic Radiology Current Accepting new patients
Donalsonville Hospital Inc CurrentSince Dec 1, 2018 Accepting new patients
Radiology Alliance PC Diagnostic Radiology CurrentSince Mar 23, 2020 Accepting new patients
Littleton Hospital Association CurrentSince Sep 1, 2016 Accepting new patients
Geisinger-HM Joint Venture, LLC Diagnostic Radiology CurrentSince Dec 29, 2019 Accepting new patients
Catskill Regional Medical Center Past Accepting new patients
American Radiology Associates, P.a. Diagnostic Radiology Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients

Locations

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

1791 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4090

1801 Ashley Cir
Bowling Green, KY 42104
Phone (270) 781-4330

600 Saint Johnsbury Rd
Littleton, NH 03561
Phone (603) 444-9000

3310 Aspen Grove Dr
Ste 203
Franklin, TN 37067
Phone (615) 771-8274

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474329600000",
    "number": "1316922057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN",
            "address_2": "SUITE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445347",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "579 SAGAMORE AVE",
            "address_2": "UNIT 60",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "038015584",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIN",
        "first_name": "KATHERINE",
        "middle_name": "MARY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2016-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "MD00045643",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NH",
            "license": "12977",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHERINE",
            "last_name": "DUGAN",
            "middle_name": "MARY",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.