Active NPI
Timothy James Tobin, D.P.M.
- Podiatrist
- Beverly, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 1930
- Practice address
- 900 Cummings Ctr
Suite 109U
Beverly, MA 01915-6198 - Phone
- (978) 927-1911
- Fax
- (978) 927-1811
- NPI assigned
- Oct 13, 2006
- Last updated
- Apr 7, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 1930 | MA | Primary |
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1930 | MA |
Addresses
Primary practice location
900 Cummings Ctr
Suite 109U
Beverly, MA 01915-6198
Mailing address
900 Cummings Ctr
Suite 109U
Beverly, MA 01915-6198
Phone (978) 927-1911
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0357928 | Medicaid | MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 Cummings Ctr
Suite 309V
Beverly, MA 01915-6181
Phone (978) 922-0288
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 31 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 345 |
| Removal or shaving of skin growth | 217 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1930 | MA | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beverly Podiatry Inc. | Current | Accepting new patients | |
| Beverly Podiatry, Inc | Podiatrist | Current | Accepting new patients |
Locations
900 Cummings Ctr
Ste 109U
Beverly, MA 01915
Phone (617) 639-0828
900 Cummings Ctr
Ste 309V
Beverly, MA 01915
Phone (978) 922-0288
Interoperability endpoints
- tobin.timothy.bevpod@direct.partners.masshiway.net
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- Beverly, MA
- NPI 1417134859
Podiatrist
-
- Podiatrist
- Beverly, MA
- NPI 1952835225
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Beverly, MA
- NPI 1316917941
-
- Psychiatric Hospital Unit
- Beverly, MA
- NPI 1407827710
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239062400000",
"number": "1760572234",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "900 CUMMINGS CTR",
"address_2": "SUITE 109U",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156198",
"telephone_number": "978-927-1911",
"fax_number": "978-927-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 CUMMINGS CTR",
"address_2": "SUITE 109U",
"city": "BEVERLY",
"state": "MA",
"postal_code": "019156198",
"telephone_number": "978-927-1911",
"fax_number": "978-927-1811"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOBIN",
"first_name": "TIMOTHY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-13",
"last_updated": "2009-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "MA",
"license": "1930",
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MA",
"license": "1930",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0357928",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Beverly, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.