NPIMap

Individual provider Active NPI

Toby Annette Maurer, MD

  • Dermatology Physician
  • Indianapolis, IN
National Provider Identifier
1871668509
Registry record updated Jul 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
01086233A Issued in IN
Practice address
1701 N Senate Ave
Indianapolis, IN 46202-5306
Phone
(317) 944-7744
Fax
(317) 944-7051
NPI assigned
Nov 21, 2006
Last updated
Jul 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A45876 CA
Dermatology Physician 207N00000X 01086233A IN Primary
Family Medicine Physician 207Q00000X A45876 CA

Addresses

Primary practice location

1701 N Senate Ave
Indianapolis, IN 46202-5306

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1001 Potrero Avenue
Bldg 90 Ward 92 Rm 224
San Francisco, CA 94110-3518
Phone (415) 206-8680

Other identifiers 1

IdentifierTypeStateIssuer
00A458760MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080502000456 CA Practitioner - Dermatology 3971682840 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of San MateoGroup PAC ID 9032023171, 316 clinicians
Bay Area Community HealthGroup PAC ID 1658349824, shared by 11 NPIs, 106 clinicians

Practice addresses (Care Compare)

22 W 39TH Ave
Hos316Ms
San Mateo, CA 94403-4364

222 W 39TH Ave
San Mateo, CA 94403-4364

380 90TH St
Daly City, CA 94015-1807
Phone (650) 573-2222

5504 Monterey Hwy
San Jose, CA 95138-1529
Phone (408) 729-9700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions26
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A45876CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Dermatology, Inc. Dermatology CurrentSince May 1, 2021 Accepting new patients
City & County of San Francisco CurrentSince Oct 2, 2015 Accepting new patients
Alameda Health System CurrentSince Mar 23, 2013 Accepting new patients
County of San Mateo CurrentSince May 26, 2024 Accepting new patients
City and County of San Francisco CurrentSince Oct 2, 2015 Accepting new patients
County of San Mateo CurrentSince May 26, 2024 Accepting new patients
Alameda Health System CurrentSince Mar 23, 2013 Accepting new patients
City & County of San Francisco Current Accepting new patients
Indiana University Health West Hospital Inc Past Accepting new patients
Indiana University Health Inc Past Accepting new patients
Indiana University Health Inc Past Accepting new patients
The Health and Hospital Corporation of Marion County Past Accepting new patients
Indiana University Health North Hospital Inc Past Accepting new patients
Indiana University Health Inc Past Accepting new patients
Bay Area Community Health Past Accepting new patients
University of California San Francisco Past Accepting new patients

Locations

664 Southland Mall
Hayward, CA 94545
Phone (510) 266-1700

6066 Civic Terrace Ave
Newark, CA 94560
Phone (510) 505-1600

1411 E 31st St
Oakland, CA 94602
Phone (510) 437-4323

6955 Foothill Blvd
Ste 200
Oakland, CA 94605
Phone (510) 567-5700

1001 Potrero Ave
Bldg 90
San Francisco, CA 94110
Phone (415) 206-8680

375 Laguna Honda Blvd
San Francisco, CA 94116
Phone (415) 759-2300

222 W 39th Ave
San Mateo, CA 94403
Phone (415) 573-2222

7593 Solutions Ctr
Chicago, IL 60677

1701 N Senate Ave
Indianapolis, IN 46202
Phone (317) 929-8447

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 200
Indianapolis, IN 46219
Phone (317) 962-4836

550 University Blvd
#3240
Indianapolis, IN 46202
Phone (317) 274-7740

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tmaurer18681@smch.direct-ci.com
  • Direct secure messaging: tmaurer293288@direct.ochin.org

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1871668509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 N SENATE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462025306",
            "telephone_number": "317-944-7744",
            "fax_number": "317-944-7051"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Potrero Avenue",
            "address_2": "Bldg 90 Ward 92 Rm 224",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941103518",
            "country_code": "US",
            "telephone_number": "415-206-8680",
            "fax_number": "415-206-4317",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURER",
        "first_name": "TOBY",
        "middle_name": "ANNETTE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A45876",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IN",
            "license": "01086233A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A45876",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A458760",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.