MACIEJ STANISLAW TOBOLA (MD) – Diagnostic Radiology Physician, NPI 1154559805

MACIEJ STANISLAW TOBOLA (MD) is a healthcare provider. based in Norfolk, Virginia. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. 4301094374 (MI). The NPI Number for MACIEJ STANISLAW TOBOLA (MD) is 1154559805

Main info

Male
Sole Proprietor
17 Years Of Experience
Accepts Medicare Assignment
Name
MACIEJ STANISLAW TOBOLA (MD)
NPI
1154559805
Phone
(757) 889-5422
Address
110 KINGSLEY LN STE 305
Enumeration Date
1 July 2009
Last Update Date
19 June 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7579169630
Graduation Year
2009 (17 years ago)
PAC ID
4688897325
Group Practice PAC ID
4880688506
Professional Enrollment ID
I20150806009850
Address ID
VA234527386VI582XXPKWY301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience55
Completeness75
Years active:16State licenses:2Digital endpointsOther names

1,529 DIAGNOSTIC RADIOLOGY in VA

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Provider Addresses for MACIEJ STANISLAW TOBOLA (MD)

  • Kingsley Lane, East Haven, Norfolk, Virginia, 23505, United States

    NORFOLK, VA 235054617

    Phone: (757) 889-5422

    Fax: (757) 889-5450

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2015-08-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20150806009850IDiagnostic RadiologyVATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view1,5871,431$0
71046X-ray of chest, 2 views1,0801,031$0
77067Screening mammography792792$0
77063Screening 3d breast mammography773773$0
70450Ct scan head or brain without contrast377371$0
View full utilization report →

Insurance plans in this area (ZIP 23505)

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Provider's Procedures

MACIEJ STANISLAW TOBOLA (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYMI71010X-ray of chest, 1 view, front1052969
DIAGNOSTIC RADIOLOGYMI71250CT scan chest4747
DIAGNOSTIC RADIOLOGYMI73630X-ray of foot, minimum of 3 views9692

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4880688506View full group profile
NameSpecialtyState
Interventional Radiology, Diagnostic RadiologyVA
-VA
-VA
Diagnostic RadiologyVA
Diagnostic RadiologyMA
-VA
Diagnostic RadiologyMA
Diagnostic RadiologyVA
Diagnostic Radiology, Interventional RadiologyVA
Interventional Radiology, Diagnostic RadiologyVA

Reviews

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Frequently asked questions

What is the registry number for MACIEJ STANISLAW TOBOLA (MD)?
The registry entry for MACIEJ STANISLAW TOBOLA (MD) shows NPI 1154559805.
Quick check: is MACIEJ STANISLAW TOBOLA (MD) active?
Public NPPES data shows MACIEJ STANISLAW TOBOLA (MD) with an active NPI status right now.
How should patients interpret MACIEJ STANISLAW TOBOLA (MD)'s specialty?
The extract shows Diagnostic Radiology Physician for MACIEJ STANISLAW TOBOLA (MD). Clinical services aligned with this taxonomy classification.
Is MACIEJ STANISLAW TOBOLA (MD) tied to Norfolk, Virginia?
If you are local to Norfolk, Virginia, MACIEJ STANISLAW TOBOLA (MD) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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