Active NPI
Howard a. Tobin MD, PA
- Ambulatory Surgical Clinic/Center
- Abilene, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 000111
- Legal business name
- HOWARD A. TOBIN MD, PA
- Practice address
- 6300 Regional PLZ
Suite 475
Abilene, TX 79606-5251 - Phone
- (325) 695-3630
- Fax
- (325) 695-3633
- NPI assigned
- Jun 4, 2007
- Last updated
- Feb 24, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Raymond Beltran
- Title
- Credentialing
- Phone
- (210) 861-4688
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 000111 | TX | Primary |
| Nephrology Physician | 207RN0300X | NU |
Addresses
Primary practice location
6300 Regional PLZ
Suite 475
Abilene, TX 79606-5251
Mailing address
6300 Regional PLZ
Suite 475
Abilene, TX 79606-5251
Phone (325) 695-3630
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Z04510302 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210304000358 | TX | Part B Supplier - Ambulatory Surgical Center | 9032525753 |
Receives reassigned benefits from 1 practitioner Practice locations: Abilene, TX |
NPI to CCN mapping 1
The Medicare certification numbers (CCNs) connected to NPI 1619179439. Details of each certification follow.
Ambulatory surgical center certification: CCN 45C0001030
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- HOWARD A. TOBIN MD, PA
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- Mar 21, 1985
- Last certification
- Mar 22, 2022
- Ownership / control type
- Proprietary
- Facility address
- 6300 Regional Plaza Ste 475
Abilene, TX 79606
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0994845 | Howard a Tobin MD PA | Certificate of waiver | Jan 2, 2028 |
National Provider Directory
National Provider DirectoryLocations
6300 Regional Plz
Ste 475
Abilene, TX 79606
Phone (325) 695-3630
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- San Antonio, TX
- NPI 1922074798
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180915200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614124800000",
"number": "1619179439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6300 REGIONAL PLZ",
"address_2": "SUITE 475",
"city": "ABILENE",
"state": "TX",
"postal_code": "796065251",
"telephone_number": "325-695-3630",
"fax_number": "325-695-3633"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6300 REGIONAL PLZ",
"address_2": "SUITE 475",
"city": "ABILENE",
"state": "TX",
"postal_code": "796065251",
"telephone_number": "325-695-3630",
"fax_number": "325-695-3633"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOWARD A. TOBIN MD, PA",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-04",
"last_updated": "2021-02-24",
"certification_date": "2021-02-24",
"status": "A",
"authorized_official_last_name": "BELTRAN",
"authorized_official_first_name": "RAYMOND",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "210-861-4688"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "TX",
"license": "000111",
"primary": true
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "Z04510302",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Abilene, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.