ANCA ADELA TOMA MBBS
NPI 1427012145
Internal Medicine in Saint Paul, MN

Active since April 12, 2006PECOS Enrolled
83.53/100
CMS Quality Rating
333 SMITH AVE N, SUITE 4314A, SAINT PAUL, MN 55102(651) 241-8436(651) 241-2793 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Anca Adela Toma Mbbs NPPES

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

ANCA ADELA TOMA MBBS (NPI 1427012145) is an individual internal medicine provider in Saint Paul, Minnesota, licensed in Minnesota (42774) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Allina United Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1427012145
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameANCA ADELA TOMACredential: MBBS
Location Address333 SMITH AVE N, SUITE 4314ASaint Paul, MN 55102-2344
Mailing AddressPo Box 43, Mr 10809Minneapolis, MN 55440-0043 · (612) 262-4813 · Fax (612) 262-4194
Fax(651) 241-2793
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateApril 12, 2006
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
NPI 1427012145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MN · 42774
Definition
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.
333 SMITH AVE N, Saint Paul, MN 55102

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Anca Adela Toma Mbbs is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2264428952
PECOS Enrollment IDI20040420001245
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
181 services72 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
95 services47 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
40 services40 patients
Physician or allowed practitioner 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 and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
12 services12 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Allina United Hospital

Acute Care Hospitals · Saint Paul, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240038
Location333 North Smith AvenueSaint Paul, MN 55102 · Ramsey County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55102 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
$127.61 typical visit price
range $56.00 – $168.28
Typical copayment $31.90 (range $14.00 – $42.07)
Most-billed visit code 99204
Established Patient
$98.61 typical visit price
range $18.32 – $138.04
Typical copayment $24.65 (range $4.58 – $34.51)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

83.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost63.31

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.95 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Anesthetist, Certified Registered
333 SMITH AVE N
ST PAUL, MN 55102
Nurse Anesthetist, Certified Registered
333 SMITH AVE N
SAINT PAUL, MN 55102
Speech-Language Pathologist
333 SMITH AVE N
SAINT PAUL, MN 55102
Emergency Medicine
333 SMITH AVE N
SAINT PAUL, MN 55102
Emergency Medicine
333 SMITH AVE N
SAINT PAUL, MN 55102
Physical Therapist (Geriatrics)
333 SMITH AVE N
SAINT PAUL, MN 55102
Physician Assistant
333 SMITH AVE N
SAINT PAUL, MN 55102
Anesthesiology
333 SMITH AVE N
SAINT PAUL, MN 55102

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 Anca Toma's NPI number?

The NPI number for Anca Toma is 1427012145. It was assigned to this individual provider in the NPPES registry on April 12, 2006.

Where is Anca Toma located?

Anca Toma practices at 333 Smith Ave N Suite 4314A, Saint Paul, MN 55102. The listed phone number is (651) 241-8436.

What is Anca Toma's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Anca Toma enrolled in Medicare?

Yes. Anca Toma is registered in the Medicare PECOS enrollment system.

What insurance does Anca Toma accept?

Health plans from Medica list Anca 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 Anca Toma affiliated with any hospitals?

According to CMS data, Anca Toma is affiliated with Allina United Hospital.

When was this NPI record last updated?

The NPPES record for Anca Toma was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.