Individual provider Active NPI

Kardie Tobb, D.O

  • Cardiovascular Disease Physician
  • Greensboro, NC
National Provider Identifier
1427462977
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2020-00155 Issued in NC
Practice address
930 3Rd St
Greensboro, NC 27405-6967
Phone
(336) 951-4823
NPI assigned
Jun 12, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT015636 PA
Cardiovascular Disease Physician 207RC0000X 2020-00155 NC Primary

Addresses

Primary practice location

930 3Rd St
Greensboro, NC 27405-6967

Mailing address

300 E Wendover Ave
Greensboro, NC 27401-1229
Phone (336) 663-5220

Other practice location 1

3711 Elmsley St Ste 101
Greensboro, NC 27406-7039
Phone (336) 890-2165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200826000840 NC Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4486876711 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, shared by 11 NPIs, 724 clinicians

Practice addresses (Care Compare)

3200 Northline Ave
Suite 250
Greensboro, NC 27408-7619
Phone (336) 273-7900

3711 Elmsley St
Suite 101
Greensboro, NC 27406-7039
Phone (336) 890-2165

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Prospect Health Access Network, Inc. Current Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Internal Medicine CurrentSince Jul 30, 2023 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Oct 1, 2017 Accepting new patients
Prospect Health Access Network, Inc. CurrentSince Oct 1, 2017 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Sep 24, 2024 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

3200 Northline Ave
Ste 250
Greensboro, NC 27408
Phone (336) 273-7900

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

2525 Phillips Ave
#C
Greensboro, NC 27405
Phone (336) 832-7711

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

930 3rd St
Greensboro, NC 27405
Phone (336) 610-3720

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

3711 Elmsley St
Ste 101
Greensboro, NC 27406
Phone (336) 890-2165

618 S Main St
Reidsville, NC 27320
Phone (336) 832-7965

1 Medical Center Blvd
Chester, PA 19013
Phone (610) 447-6666

1 Medical Center Blvd
Ste 301
Chester, PA 19013
Phone (610) 566-6744

100 W Sproul Rd
Ste 123
Springfield, PA 19064
Phone (610) 619-8281

Organizations & group practices 7

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 2

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": "1402531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1427462977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011229",
            "telephone_number": "336-663-5220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 3RD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056967",
            "telephone_number": "336-951-4823"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3711 Elmsley St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274067039",
            "country_code": "US",
            "telephone_number": "336-890-2165",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBB",
        "first_name": "KARDIE",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-12",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT015636",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2020-00155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.