Darby Katherine Tobar, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

17800 Newburgh Rd Ste 103
Livonia, MI 48152-2794

Phone

(734) 464-9540

Fax

(734) 464-0438

NPI assigned

Sep 9, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in MI

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

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

VMD Primary Providers Eastern Michigan PCGroup PAC ID 9234480575, 63 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: darby.lychuk.1@21803.direct.athenahealth.com

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.

• VMD Primary Providers Eastern Michigan, PC

  • Family Medicine Physician
  • Novi, MI
  • NPI 1336625540
  Medicare reassignment Care Compare group
• Envision Medical Group PLLC

  • Family Medicine Physician
  • Northville, MI
  • NPI 1578891750

  Physician Assistant

  NPD
• Envision Medical Group PLLC

  • Family Medicine Physician
  • Northville, MI
  • NPI 1821391848
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1851940167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28624 OAKMONT CT",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483312995",
            "telephone_number": "248-755-6520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17800 NEWBURGH RD STE 103",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481522794",
            "telephone_number": "734-464-9540",
            "fax_number": "734-464-0438"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Haggerty Rd Ste 1010",
            "address_purpose": "LOCATION",
            "city": "West Bloomfield",
            "state": "MI",
            "postal_code": "483232185",
            "country_code": "US",
            "telephone_number": "248-926-9111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBAR",
        "first_name": "DARBY",
        "middle_name": "KATHERINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MI",
            "license": "5601009512",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT LICENSE",
            "identifier": "5601009512",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://practiceID.portal.athenahealth.com",
            "affiliation": "N",
            "address_1": "17800 Newburgh Rd Ste 103",
            "city": "Livonia",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481522794",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kennedi Ann Tindle
• Terry L Tipton, D.C.
• Logan Aric Tkach, OTR/L
• TLC Chiropractic PC
• Antoine Toatley
• Maria Tobar, PT
• Keith M Tobin, D.O.
• Cynthia Marie Todaro, DDS
• Terri Lynn Todaro, DDS
• Alan Todd, LLPC

• Physician Assistant in Livonia, MI
• Providers in Livonia, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.

Verify at the official NPI Registry.