Individual provider Active NPI

Patrick Tobbia, M.D.

  • Interventional Cardiology Physician
  • Little Rock, AR
National Provider Identifier
1427362011
Registry record updated Jul 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
E-9605 Issued in AR
Practice address
4130 Shuffield Dr
University of Arkansas for Medical Sciences
Little Rock, AR 72205-0000
Phone
(501) 686-7000
NPI assigned
Aug 5, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 164606 NC
Cardiovascular Disease Physician 207RC0000X 94-08042 KS
Interventional Cardiology Physician 207RI0011X E-9605 AR Primary

Addresses

Primary practice location

4130 Shuffield Dr
University of Arkansas for Medical Sciences
Little Rock, AR 72205-0000

Mailing address

4130 Shuffield Dr
University of Arkansas for Medical Sciences
Little Rock, AR 72205-0000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20170809002840 AR Practitioner - Cardiovascular Disease (Cardiology) 8820395890 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baxter Regional Enterprises, LLCGroup PAC ID 3476945528, 16 clinicians
Baxter County Regional Hospital IncGroup PAC ID 3274420971, 57 clinicians

Practice addresses (Care Compare)

15 Green Valley Dr
Suite 100
Mountain Home, AR 72653-8102
Phone (870) 701-4090

414 W Old Main St
Yellville, AR 72687-8284
Phone (870) 449-4221

555 W 6TH St
Mountain Home, AR 72653-3409
Phone (870) 425-8288

624 Hospital Dr
Mountain Home, AR 72653-2955
Phone (870) 508-1080

Hospital & facility affiliations

  • Baxter Health Hospital, Mountain Home, AR, CCN 040027
  • Baxter Health Fulton County Hospital Hospital, Salem, AR, CCN 041322
  • Ozarks Healthcare Hospital, West Plains, MO, CCN 260078
  • Stone County Medical Center Hospital, Mountain View, AR, CCN 041310
  • North Arkansas Regional Medical Center Hospital, Harrison, AR, CCN 040017

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting59
Pacemaker insertion or repair24
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
164606NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baxter County Regional Hospital Inc CurrentSince Jun 14, 2017 Accepting new patients
Baxter Regional Enterprises, LLC CurrentSince Jan 1, 2022 Accepting new patients
Baxter County Regional Hospital, Inc CurrentSince Jun 14, 2017 Accepting new patients
Baxter Regional Enterprises, LLC CurrentSince Jan 1, 2022 Accepting new patients
Baxter County Regional Hospital, Inc Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

555 W 6th St
Mountain Home, AR 72653
Phone (870) 425-1787

624 Hospital Dr
Mountain Home, AR 72653
Phone (870) 424-1000

628 Hospital Dr
Ste 112
Mountain Home, AR 72653
Phone (870) 425-8288

15 Green Valley Dr
#100
Mountain Home, AR 72653
Phone (870) 701-0490

414 W Old Main St
Yellville, AR 72687
Phone (870) 424-1000

Interoperability endpoints

  • Direct secure messaging: patrick.tobbia@bhcawp.eclinicaldirectplus.com

Organizations & group practices 6

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.

Hospital & facility affiliations 7

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": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469145600000",
    "number": "1427362011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 SHUFFIELD DR",
            "address_2": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722050000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4130 SHUFFIELD DR",
            "address_2": "UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722050000",
            "telephone_number": "501-686-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBBIA",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-05",
        "last_updated": "2016-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "164606",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "94-08042",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E-9605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.