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DR. KEITH M TOBIN D.O. NPI 1083611560


NPI Information

NPI: 1083611560
Provider Name: DR. KEITH M TOBIN, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual
Organization: AMERICAN GERIATRIC CONSULTANTS PLC

PECOS Registration: Yes

CLIA Number: 23D0966754

Address:
28701 PLYMOUTH RD
LIVONIA, MI
ZIP 48150
Phone: (734) 427-9900
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DR. Keith M Tobin, D.O. is a family medicine in Livonia, MI with 35 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. DR. Keith M Tobin, D.O. NPI is 1083611560. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF NEW ENGLAND, COLLEGE OF OSTEO MEDICINE
Graduation Year:1989

The provider's business location address is:

28701 PLYMOUTH RD
LIVONIA, MI
ZIP 48150-335
Phone: (734) 427-9900
Fax: (734) 427-8963

The NPI 1083611560 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 23D0966754 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Physician certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial imple (HCPCS:G0180)
  • Urinalysis, manual test (HCPCS:81002)
  • Injection beneath the skin or into muscle for therapy, diagnosis, or prevention (HCPCS:96372)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • X-ray of chest, 2 views, front and side (HCPCS:71020)
  • Physician re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians to affirm the initial im (HCPCS:G0179)

The enumeration date for this NPI number is 6/30/2005 and was last updated on 7/9/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine5101010694MICHIGANYes
2207QG0300XFamily MedicineGeriatric Medicine5101010694MICHIGANX

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1P86747OTHERMICHIGANBCN PROVIDER ID
2OM84090001MEDICARE ID-TYPE UNSPECIFIEDMICHIGANMEDICARE PROVIDER NBR
34082200MEDICAIDMICHIGAN
45101010694OTHERMICHIGANSTATE LICENSE NUMBER
5993699OTHERMICHIGANAETNA PROVIDER ID
65820442OTHERMICHIGANBCBS PROVIDER ID
7F05096MEDICARE UPINMICHIGAN
8F05096OTHERMICHIGANHAP PROVIDER ID
9C4002OTHERMICHIGANMCARE PROVIDER ID

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.