Individual provider Active NPI

Steve Willis Tobias, PA-C

  • Medical Physician Assistant
  • Dallas, TX
National Provider Identifier
1669721973
Registry record updated Jul 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA02271 Issued in TX
Practice address
2701 S Hampton Rd Ste 101
Dallas, TX 75224-2363
Phone
(214) 330-9221
Fax
(214) 999-9363
NPI assigned
Aug 31, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA02271 TX Primary

Addresses

Primary practice location

2701 S Hampton Rd Ste 101
Dallas, TX 75224-2363

Mailing address

700 N Pearl St Ste N510
Dallas, TX 75201-2863
Phone (214) 580-7277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210607002383 TX Practitioner - Physician Assistant 3173923513 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA02271TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Metroplex Care Group CurrentSince Jun 2, 2021 Accepting new patients

Locations

700 N Pearl St
Ste N208
Dallas, TX 75201
Phone (214) 855-0608

2701 S Hampton Rd
Ste 101
Dallas, TX 75224
Phone (214) 330-9221

700 N Pearl St
Ste N510
Dallas, TX 75201

Interoperability endpoints

  • Direct secure messaging: stevetobias@gfmc.allscriptsdirect.net

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": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1669721973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 N PEARL ST STE N510",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752012863",
            "telephone_number": "214-580-7277",
            "fax_number": "214-999-9363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 S HAMPTON RD STE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752242363",
            "telephone_number": "214-330-9221",
            "fax_number": "214-999-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBIAS",
        "first_name": "STEVE",
        "middle_name": "WILLIS",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-31",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA02271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.