Individual provider Active NPI

Raymond Tobias, MD

  • Gastroenterology Physician
  • Birmingham, AL
National Provider Identifier
1508840133
Registry record updated Aug 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
11184 Issued in AL
Practice address
One Independence Plaza
Ste 900
Birmingham, AL 35209
Phone
(205) 271-8000
Fax
(205) 879-0548
NPI assigned
Dec 6, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 11184 AL Primary

Addresses

Primary practice location

One Independence Plaza
Ste 900
Birmingham, AL 35209

Mailing address

One Independence Plaza
Ste 900
Birmingham, AL 35209
Phone (205) 271-8000

Other identifiers 1

IdentifierTypeStateIssuer
528400180MedicaidAL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20081120000726 AL Practitioner - Gastroenterology 0749340750 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11184ALMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Birmingham Gastroenterology Associates PC Gastroenterology CurrentSince May 24, 2000 Accepting new patients
Birmingham Gastroenterology Associates PC CurrentSince May 24, 2000 Accepting new patients

Locations

1222 14th Ave S
Ste 204
Birmingham, AL 35205
Phone (205) 271-8300

2018 Brookwood Medical Ctr Dr
Ste 310
Birmingham, AL 35209
Phone (205) 329-7815

1 Independence Plz
Ste 900
Homewood, AL 35209
Phone (205) 879-7953

1 Independence Plz
Homewood, AL 35209
Phone (205) 255-3828

1 Independence Plz
Ste 410
Homewood, AL 35209
Phone (205) 516-3290

7191 Cahaba Valley Rd
Ste 206
Hoover, AL 35242
Phone (205) 408-6421

Organizations & group practices 2

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": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280966400000",
    "number": "1508840133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "ONE INDEPENDENCE PLAZA",
            "address_2": "STE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-271-8000",
            "fax_number": "205-879-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ONE INDEPENDENCE PLAZA",
            "address_2": "STE 900",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "35209",
            "telephone_number": "205-271-8000",
            "fax_number": "205-879-0548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIAS",
        "first_name": "RAYMOND",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2010-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "AL",
            "license": "11184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "528400180",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.