1. Home
  2. Directory
  3. Texas
  4. Mt Pleasant
  5. Pediatrics
  6. NPI Profile

ALBAN TOMAJ
NPI 1578097036
Pediatrics in Mt Pleasant, TX

Active since April 11, 2017PECOS Enrolled
2001 N JEFFERSON AVE STE 300, MT PLEASANT, TX 75455(903) 572-9823(903) 572-4812 Get Directions Write a Review

NPPES record last updated: July 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 7, 2020, Apr 11, 2017 (2 updates tracked since 2017).

About Alban Tomaj NPPES

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

ALBAN TOMAJ (NPI 1578097036) is an individual pediatrics provider in Mt Pleasant, Texas, licensed in Texas (S5794) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1578097036
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameALBAN TOMAJ
Location Address2001 N JEFFERSON AVE STE 300Mt Pleasant, TX 75455-2375
Mailing Address6431 Fannin St, Suite Msb 3.151Houston, TX 77030-1501 · (713) 500-5800 · Fax (713) 500-5805
Phone(903) 572-9823
Fax(903) 572-4812
Sole ProprietorNo
Enumeration DateApril 11, 2017
Last NPPES UpdateJuly 7, 20202 updates tracked since enumeration
NPPES CertifiedJuly 7, 2020
✔ NPI 1578097036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in TX · S5794
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2001 N JEFFERSON AVE STE 300, Mt Pleasant, TX 75455
Open in Google Maps ↗

Secondary Practice Location 1

Location 16431 Fannin St, Suite MSB 3.151Houston, TX 77030-1501 · Phone (713) 500-5800 · Fax (713) 500-5805

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Cigna Healthcare, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alban Tomaj 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.

Medicare Billing Reassignment

Medicare enrollment records show Alban Tomaj reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Pediatric Clinic, P.A.
Same address
Pediatrics
2001 N JEFFERSON AVE, SUITE 300
Mount Pleasant, TX 75455
  • Reassigned Medicare billing, Texas enrollment
  • 13 clinicians in this Medicare group
NPI 1821085721 (903) 572-9823

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75455 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 8

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

TAMMY LYNN UNDIEMI FNP-BC
Nurse Practitioner (Family)
2001 N JEFFERSON AVE STE 300
MOUNT PLEASANT, TX 75455
Titus County (903) 572-9823
GREGORY N SMITH JR.
Nurse Practitioner (Pediatrics)
2001 N JEFFERSON AVE STE 300
MOUNT PLEASANT, TX 75455
Titus County (903) 572-9823
THE PEDIATRIC CLINIC, P.A.
Clinic/Center (Rural Health)
2001 N JEFFERSON AVE STE 300
MOUNT PLEASANT, TX 75455
Titus County (903) 572-9823
LARA K ROWE PNP
Nurse Practitioner (Pediatrics)
2001 N JEFFERSON AVE STE 300
MOUNT PLEASANT, TX 75455
Titus County (903) 572-9823
MEREDITH LONGINO CPNP, APRN
Nurse Practitioner (Pediatrics)
2001 N JEFFERSON AVE STE 300
MT PLEASANT, TX 75455
Titus County (903) 572-9823
DANA LYNN RICE M.D.
Pediatrics
2001 N JEFFERSON AVE STE 300
MT PLEASANT, TX 75455
Titus County (903) 572-9823
DR. MONISOLA OLUWAKEMI JOANN IYAMAH MD
Pediatrics
2001 N JEFFERSON AVE STE 300
MT PLEASANT, TX 75455
Titus County (903) 572-9823
MRS. JENNIFER C KRISKA CPNP
Nurse Practitioner (Pediatrics)
2001 N JEFFERSON AVE STE 300
MOUNT PLEASANT, TX 75455
Titus County (903) 572-9823

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 Alban Tomaj's NPI number?

The NPI number for Alban Tomaj is 1578097036. It was assigned to this individual provider in the NPPES registry on April 11, 2017.

Where is Alban Tomaj located?

Alban Tomaj practices at 2001 N Jefferson Ave Ste 300, Mt Pleasant, TX 75455. The listed phone number is (903) 572-9823.

What is Alban Tomaj's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alban Tomaj enrolled in Medicare?

Yes. Alban Tomaj is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Alban Tomaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alban Tomaj reassigns Medicare benefits to The Pediatric Clinic, P.A. (Mount Pleasant, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Alban Tomaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alban Tomaj accept?

Health plans from Blue Cross and Blue Shield of Texas, Cigna Healthcare and UnitedHealthcare list Alban Tomaj 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.

When was this NPI record last updated?

The NPPES record for Alban Tomaj was last updated on July 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.