Individual provider Active NPI

Brian Tobe, MD

  • Emergency Medicine Physician
  • Waimea, HI
National Provider Identifier
1336170786
Registry record updated Nov 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD13700 Issued in HI
Practice address
4643 Waimea Canyon Road
Waimea, HI 96796
Phone
(904) 805-1300
Fax
(904) 805-1302
NPI assigned
Jul 5, 2006
Last updated
Nov 21, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD13700 HI Primary

Addresses

Primary practice location

4643 Waimea Canyon Road
Waimea, HI 96796

Mailing address

44-709 Alakai St
Kaneohe, HI 96744-2412
Phone (808) 664-9984

Other identifiers 1

IdentifierTypeStateIssuer
2503375MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20060829000114 HI Practitioner - Emergency Medicine 6103895537 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Honolulu Pali Momi, LLC Emergency Medicine CurrentSince Jan 1, 2011 Accepting new patients
Emergency Medicine Physicians of Honolulu Kapiolani, LLC Emergency Medicine CurrentSince Jul 6, 2014 Accepting new patients
Waimea Emergency Services LLC Emergency Medicine Past Accepting new patients
Louisiana Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
LMH Emergency Medicine Associates, LLC Emergency Medicine Past Accepting new patients
Emergency Physicians Medical Group, Inc Emergency Medicine Past Accepting new patients
Knox Emergency Services, LLC Emergency Medicine Past Accepting new patients

Locations

98-1079 Moanalua Rd
Aiea, HI 96701
Phone (808) 485-4301

1319 Punahou St
Honolulu, HI 96826
Phone (808) 485-4300

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, 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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227225600000",
    "number": "1336170786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44-709 ALAKAI ST",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967442412",
            "telephone_number": "808-664-9984"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 WAIMEA CANYON ROAD",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "96796",
            "telephone_number": "904-805-1300",
            "fax_number": "904-805-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBE",
        "first_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2008-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "HI",
            "license": "MD13700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2503375",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waimea, HI

Sources for this page

Verify at the official NPI Registry.