Organization Active NPI

Howard a. Tobin MD, PA

  • Ambulatory Surgical Clinic/Center
  • Abilene, TX
National Provider Identifier
1619179439
Registry record updated Feb 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
License
000111 Issued in TX
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, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2021

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Z04510302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D0994845Howard a Tobin MD PA6300 Regional Plaza, Suite 475, Abilene, TX 79606Certificate of waiverJan 2, 2028

National Provider Directory

National Provider Directory

Locations

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.

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

Verify at the official NPI Registry.