Active NPI
Kerry Tobias, D.O.
- Physical Medicine & Rehabilitation Physician
- Phoenix, AZ
National Provider Identifier
1427071026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 005850
- Practice address
- 625 N. 6TH Street
Phoenix, AZ 85004 - Phone
- (602) 406-8222
- Fax
- (602) 406-6242
- NPI assigned
- Jul 25, 2006
- Last updated
- Jul 25, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 005850 | AZ | Primary |
| Pain Medicine (Physical Medicine & Rehabilitation) Physician | 2081P2900X | 005850 | AZ | |
| Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician | 2081H0002X | 005850 | AZ |
Addresses
Primary practice location
625 N. 6TH Street
Phoenix, AZ 85004
Mailing address
625 N. 6TH St.
Phoenix, AZ 85004
Phone (602) 406-8222
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 683683 | Medicaid | AZ |
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005850 | AZ | MD | Hospice and Palliative Medicine (Physical Medicine & Rehabilitation) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564012800000",
"number": "1427071026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "625 N. 6TH ST.",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85004",
"telephone_number": "602-406-8222",
"fax_number": "602-406-6132"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "625 N. 6TH STREET",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85004",
"telephone_number": "602-406-8222",
"fax_number": "602-406-6242"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIAS",
"first_name": "KERRY",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-25",
"last_updated": "2019-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "AZ",
"license": "005850",
"primary": true
},
{
"code": "2081P2900X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pain Medicine",
"state": "AZ",
"license": "005850",
"primary": false
},
{
"code": "2081H0002X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Hospice and Palliative Medicine",
"state": "AZ",
"license": "005850",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "683683",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.