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CHARLES KENNETH TOBIN DO
NPI 1619660099
Student in an Organized Health Care Education/Training Program in Ypsilanti, MI

Active since May 31, 2023PECOS Enrolled
5333 MCAULEY DR RM 4001, YPSILANTI, MI 48197(734) 712-3980 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 15, 2024, Apr 3, 2024, May 31, 2023 (3 updates tracked since 2023).

About Charles Kenneth Tobin Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHARLES KENNETH TOBIN DO (NPI 1619660099) is an individual student in an organized health care education/training program in Ypsilanti, Michigan and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1619660099
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameCHARLES KENNETH TOBINCredential: DO
Location Address5333 MCAULEY DR RM 4001Ypsilanti, MI 48197-1099
Mailing Address5333 Mcauley Dr Rm 4001Ypsilanti, MI 48197-1099
Phone(734) 712-3980
Sole ProprietorYes
Enumeration DateMay 31, 2023
Last NPPES UpdateMay 15, 20243 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1619660099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedPathology · Anatomic Pathology & Clinical PathologyTaxonomy 207ZP0102X · License 5151016373 (MI)
5333 MCAULEY DR RM 4001, Ypsilanti, MI 48197
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Charles Kenneth Tobin Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLIVIA ANNE FAILLA DO
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
SHAWN O'MALLEY
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
ST JOSEPH MERCY HOSPITAL
General Acute Care Hospital (Critical Access)
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-5863
SUDHA KALI AYALA DO
Internal Medicine
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
DAVID BLUMENTHAL MD
Internal Medicine
5333 MCAULEY DR RM 4001, ACADEMIC INTERNAL MEDICINE
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
JACOB AGEMY MD
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
DR. WILLIAM JOHN NABER II
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980
AARTHI MANJUNATHAN
Student in an Organized Health Care Education/Training Program
5333 MCAULEY DR RM 4001
YPSILANTI, MI 48197
Washtenaw County (734) 712-3980

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Charles Tobin's NPI number?

The NPI number for Charles Tobin is 1619660099. It was assigned to this individual provider in the NPPES registry on May 31, 2023.

Where is Charles Tobin located?

Charles Tobin practices at 5333 Mcauley Dr Rm 4001, Ypsilanti, MI 48197. The listed phone number is (734) 712-3980.

What is Charles Tobin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Charles Tobin enrolled in Medicare?

Yes. Charles Tobin is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Charles Tobin was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.