EDIT TOLNAI M.D.
NPI 1558358630
Internal Medicine - Medical Oncology in Jupiter, FL

Active since October 04, 2005PECOS EnrolledAccepts Medicare Assignment
85.38/100
CMS Quality Rating
431 UNIVERSITY BLVD, JUPITER, FL 33458(561) 296-9147(561) 296-9148 Get Directions Write a Review

NPPES record last updated: October 30, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Oct 30, 2023, Oct 23, 2023, Oct 19, 2023 and 5 more (8 updates tracked since 2015).

About Edit Tolnai M.d. NPPES

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

EDIT TOLNAI M.D. (NPI 1558358630) is an individual medical oncology provider in Jupiter, Florida, licensed in Florida (ME88991) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Lee Memorial Hospital, and maintains a secondary practice location in Melbourne.

NPPES Registry Identity

NPI1558358630
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameEDIT TOLNAICredential: M.D.
Location Address431 UNIVERSITY BLVDJupiter, FL 33458-3103
Mailing Address2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept.Fort Myers, FL 33907-1412 · (239) 931-7342 · Fax (239) 931-7385
Fax(561) 296-9148
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 4, 2005
Last NPPES UpdateOctober 30, 20238 updates tracked since enumeration
NPPES CertifiedOctober 30, 2023
NPI 1558358630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License Licensed in FL · ME88991
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal Medicine · HematologyTaxonomy 207RH0000X · License ME88991 (FL)
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License ME88991 (FL)
431 UNIVERSITY BLVD, Jupiter, FL 33458

Secondary Practice Location 1

Location 11130 Hickory St Ste BMelbourne, FL 32901-1973 · Phone (321) 434-7676

Other Identifiers 10

Medicaid119926200FL
Other302686FL · Wellcare Medicare Lob
Other10924FL · Dimension Health Ppo
OtherP971440FL · Optimum
OtherRV635FL · Medicare Hf
Other01327FL · Bcbs
OtherP01582236FL · Rr Medicare
Other297761FL · Avmed
OtherP1035645FL · Freedom
Other7553627FL · Aetna

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 and accepts Medicare assignment

Edit Tolnai M.d. 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 ID4183603673
PECOS Enrollment IDI20040719000073
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 28

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
3,360 services43 patients
Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
3,200 services11 patients
Injection, fosaprepitant, 1 mg J1453
Fosaprepitant is an anti-nausea medication given via injection. It's often used to prevent nausea and vomiting caused by chemotherapy. This injection blocks signals to the brain that trigger these symptoms, helping you feel better.
3,150 services17 patients
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units Q5106
Epoetin alfa-epbx (Retacrit) is a biosimilar injection used for non-ESRD (End-Stage Renal Disease). It helps your body make more red blood cells, increasing your energy and well-being. It's usually given under the skin or into a vein by a healthcare professional.
1,500 services27 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
470 services26 patients
Injection, palonosetron hcl, 25 mcg J2469
Palonosetron HCL is an injection used to prevent nausea and vomiting caused by chemotherapy. It works by blocking a natural substance (serotonin) in the body that can cause vomiting. This helps improve your comfort during cancer treatment.
230 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Lee Memorial Hospital

Acute Care Hospitals · Fort Myers, FL
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100012
Location2776 Cleveland AveFort Myers, FL 33901 · Lee County
Emergency services Birthing friendly

Gulf Coast Medical Center Lee Health

Acute Care Hospitals · Fort Myers, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100220
Location13681 Doctors WayFort Myers, FL 33912 · Lee County
Emergency services

Cape Coral Hospital

Acute Care Hospitals · Cape Coral, FL
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100244
Location636 Del Prado BlvdCape Coral, FL 33990 · Lee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33458 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
$179.05 typical visit price
range $58.56 – $179.05
Typical copayment $44.76 (range $14.64 – $44.76)
Most-billed visit code 99205
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

85.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.65
Promoting Interoperability78
Improvement Activities40

Other Providers at the Same Location NPPES 7

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

Specialist
431 UNIVERSITY BLVD
JUPITER, FL 33458
Non-Pharmacy Dispensing Site
431 UNIVERSITY BLVD
JUPITER, FL 33458
Internal Medicine (Hematology & Oncology)
431 UNIVERSITY BLVD
JUPITER, FL 33458
Radiology (Nuclear Radiology)
431 UNIVERSITY BLVD
JUPITER, FL 33458
Internal Medicine (Hematology & Oncology)
431 UNIVERSITY BLVD
JUPITER, FL 33458
Internal Medicine (Hematology & Oncology)
431 UNIVERSITY BLVD
JUPITER, FL 33458
Radiology (Nuclear Radiology)
431 UNIVERSITY BLVD
JUPITER, FL 33458

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 Edit Tolnai's NPI number?

The NPI number for Edit Tolnai is 1558358630. It was assigned to this individual provider in the NPPES registry on October 4, 2005.

Where is Edit Tolnai located?

Edit Tolnai practices at 431 University Blvd, Jupiter, FL 33458. The listed phone number is (561) 296-9147.

What is Edit Tolnai's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Edit Tolnai enrolled in Medicare?

Yes. Edit Tolnai 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 Edit Tolnai accept?

Health plans from AvMed, Blue Cross and Blue Shield of NC, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 1 other insurer list Edit Tolnai 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 Edit Tolnai affiliated with any hospitals?

According to CMS data, Edit Tolnai is affiliated with Lee Memorial Hospital, Gulf Coast Medical Center Lee Health and Cape Coral Hospital.

When was this NPI record last updated?

The NPPES record for Edit Tolnai was last updated on October 30, 2023. 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.