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AHLAM MATTI TOMA FNP-C
NPI 1295254134
Nurse Practitioner - Family in Dearborn, MI

Active since September 12, 2017PECOS EnrolledAccepts Medicare Assignment
7742 SCHAEFER RD, DEARBORN, MI 48126(313) 429-3195(313) 429-3198 Get Directions Write a Review

NPPES record last updated: November 23, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 23, 2020, Mar 17, 2018, Mar 2, 2018 and 2 more (5 updates tracked since 2017).

About Ahlam Matti Toma Fnp-c NPPES

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

AHLAM MATTI TOMA FNP-C (NPI 1295254134) is an individual family provider in Dearborn, Michigan, licensed in Michigan (4704311900) and active in the NPI registry since September 2017. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Dearborn, and maintains a secondary practice location in Allen Park.

NPPES Registry Identity

NPI1295254134
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameAHLAM MATTI TOMACredential: FNP-C
Location Address7742 SCHAEFER RDDearborn, MI 48126-1159
Mailing Address7742 Schaefer RdDearborn, MI 48126-1159 · (313) 429-3195 · Fax (313) 429-3198
Phone(313) 429-3195
Fax(313) 429-3198
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateSeptember 12, 2017
Last NPPES UpdateNovember 23, 20205 updates tracked since enumeration
NPPES CertifiedNovember 23, 2020
✔ NPI 1295254134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704311900
7742 SCHAEFER RD, Dearborn, MI 48126
Open in Google Maps ↗

Secondary Practice Location 1

Location 114726 Champaign RdAllen Park, MI 48101-1617 · Phone (313) 789-7968

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ahlam Matti Toma Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951633395
PECOS Enrollment IDI20191104002756
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
28 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services18 patients
Injection of drug or substance under skin or into muscle 96372
This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
18 services12 patients
Blood glucose (sugar) test performed by hand-held instrument 82962
A blood glucose test uses a handheld device to measure the amount of sugar in your blood. A small prick on your finger allows a drop of blood to be placed on a test strip, which is then read by the device. This helps monitor and manage diabetes effectively.
11 services11 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Beaumont Hospital - Dearborn

Acute Care Hospitals · Dearborn, MI
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230020
Location18101 Oakwood BlvdDearborn, MI 48124 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48126 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

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

SCHAEFER MEDICAL GROUP P.C.
Internal Medicine
7742 SCHAEFER RD
DEARBORN, MI 48126
Wayne County (734) 422-0765
AYAD MEDICAL SERVICES PLLC
Family Medicine
7742 SCHAEFER RD
DEARBORN, MI 48126
Wayne County (313) 749-7957
SUAD F SARHAN
Nurse Practitioner (Gerontology)
7742 SCHAEFER RD
DEARBORN, MI 48126
Wayne County (313) 429-3195
ENTASER HAMOOD
Physician Assistant
7742 SCHAEFER RD
DEARBORN, MI 48126
Wayne County (313) 429-3195

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 Ahlam Toma's NPI number?

The NPI number for Ahlam Toma is 1295254134. It was assigned to this individual provider in the NPPES registry on September 12, 2017.

Where is Ahlam Toma located?

Ahlam Toma practices at 7742 Schaefer Rd, Dearborn, MI 48126. The listed phone number is (313) 429-3195.

What is Ahlam Toma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Ahlam Toma enrolled in Medicare?

Yes. Ahlam Toma is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Ahlam Toma accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and Priority Health list Ahlam Toma as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ahlam Toma affiliated with any hospitals?

According to CMS data, Ahlam Toma is affiliated with Beaumont Hospital - Dearborn and Beaumont Hospital Royal Oak.

When was this NPI record last updated?

The NPPES record for Ahlam Toma was last updated on November 23, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.