NPIMap

Individual provider Active NPI

Tarek Toubia, M.D.

  • Obstetrics & Gynecology Physician
  • Hopkinsville, KY
National Provider Identifier
1992017115
Registry record updated Mar 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
48884 Issued in KY
Practice address
1717 High St Ste 4B
Hopkinsville, KY 42240-6300
Phone
(270) 985-1376
Fax
(270) 890-6036
NPI assigned
Jul 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301096112 MI
Obstetrics & Gynecology Physician 207V00000X 48884 KY Primary

Addresses

Primary practice location

1717 High St Ste 4B
Hopkinsville, KY 42240-6300

Mailing address

1717 High St
Suite 2B
Hopkinsville, KY 42240-6300
Phone (270) 985-1376

Other identifiers 1

IdentifierTypeStateIssuer
7100411620MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20160718001719 KY Practitioner - Obstetrics/Gynecology 4688891872 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jennie Stuart Medical Center Inc 113 clinicians

Practice addresses (Care Compare)

1717 High St
Hopkinsville, KY 42240-6300

Hospital & facility affiliations

  • Jennie Stuart Medical Center Hospital, Hopkinsville, KY, CCN 180051

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48884KYMDObstetrics & Gynecology Physician
4301096112MIMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jennie Stuart Medical Center Inc CurrentSince Dec 5, 2022 Accepting new patients
Jennie Stuart Medical Center Inc Current Accepting new patients
Jennie Stuart Medical Center Inc Obstetrics & Gynecology CurrentSince Dec 5, 2022 Accepting new patients
Jennie Stuart Medical Center Past Accepting new patients

Locations

1717 High St
Ste 4B
Hopkinsville, KY 42240
Phone (270) 885-8003

320 W 18th St
Hopkinsville, KY 42240
Phone (270) 887-0100

10755 Eagle Way
Ste 202
Hopkinsville, KY 42240
Phone (270) 887-5640

1717 High St
Ste 2B
Hopkinsville, KY 42240
Phone (270) 887-0270

Interoperability endpoints

  • Direct secure messaging: ttoubia1013110@direct.deaconess.com

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ovation HealthcareHopkinsville, KY, CCN 180051 Hospital Corporate Director Jan 1, 2025
Ovation HealthcareHopkinsville, KY, CCN 18S051 Hospital Corporate Director Jan 1, 2025
Jennie Stuart Family HealthHopkinsville, KY, CCN 188559 Rural health clinic Corporate Director Jan 1, 2025
Jennie Stuart Obstetrics & GynecologyHopkinsville, KY, CCN 188557 Rural health clinic Corporate Director Jan 1, 2025
Jennie Stuart Family HealthTrenton, KY, CCN 188556 Rural health clinic Corporate Director Jan 1, 2025
Jennie Stuart Family HealthHopkinsville, KY, CCN 188558 Rural health clinic Corporate Director Jan 1, 2025

Owned or controlled facilities with NPI records 6

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 1

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": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585612800000",
    "number": "1992017115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 HIGH ST",
            "address_2": "SUITE 2B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422406300",
            "telephone_number": "270-985-1376",
            "fax_number": "270-890-6036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 HIGH ST STE 4B",
            "city": "HOPKINSVILLE",
            "state": "KY",
            "postal_code": "422406300",
            "telephone_number": "270-985-1376",
            "fax_number": "270-890-6036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOUBIA",
        "first_name": "TAREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2020-03-31",
        "certification_date": "2020-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301096112",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "KY",
            "license": "48884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100411620",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hopkinsville, KY

Sources for this page

Verify at the official NPI Registry.