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DERRICK EDWARD TOBIAS M.D NPI 1386617470


NPI Information

NPI: 1386617470
Provider Name: DERRICK EDWARD TOBIAS, M.D
Classification: Internal Medicine - 207R00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
200 E CHESTNUT ST STE 303
LOUISVILLE, KY
ZIP 40202
Phone: (502) 629-5552
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Derrick Edward Tobias, M.D is an internal medicine in Louisville, KY with 22 years of experience. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. Derrick Edward Tobias, M.D NPI is 1386617470. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

200 E CHESTNUT ST STE 303
LOUISVILLE, KY
ZIP 40202-831
Phone: (502) 629-5552
Fax: (502) 629-3132

The NPI 1386617470 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 enumeration date for this NPI number is 2/9/2006 and was last updated on 7/21/2016.


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
1207R00000XInternal Medicine39298KENTUCKYYes

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
1085911OTHERKENTUCKYSIHO - NIS
2I31752MEDICARE UPINKENTUCKY
364105570MEDICAIDKENTUCKY
40752823OTHERKENTUCKYCIGNA - NIS
550014705OTHERPASSPORT - NINPTSPEC
60998857MEDICARE PINKENTUCKY
7200803120MEDICAIDINDIANA
800533147MEDICARE PINKENTUCKY
92648495000OTHERPAD - NINPTSPEC
10000000515641OTHERANTHEM - NINPTSPEC
11000028412OOTHERKENTUCKYHUMANA - NIS
120698410MEDICARE PINKENTUCKY
13P00460518OTHERKENTUCKYRR-MCR-KY - NIS

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: 4/28/2024

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.