MOHAMED S TOUMEH MD
NPI 1598920969
Internal Medicine - Nephrology in Rochester, MN

Active since July 24, 2008PECOS EnrolledAccepts Medicare Assignment
200 1ST ST SW, ROCHESTER, MN 55905(507) 284-2511 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 19, 2024, Oct 27, 2020, Feb 10, 2020 and 4 more (7 updates tracked since 2018).

About Mohamed S Toumeh Md NPPES

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

MOHAMED S TOUMEH MD (NPI 1598920969) is an individual nephrology provider in Rochester, Minnesota, licensed in North Dakota (10797) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS, is affiliated with Sanford Medical Center Fargo, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1598920969
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameMOHAMED S TOUMEHCredential: MD
Location Address200 1ST ST SWRochester, MN 55905
Mailing Address200 1st St SwRochester, MN 55905-0001 · (507) 284-2511
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 24, 2008
Last NPPES UpdateApril 19, 20247 updates tracked since enumeration
NPPES CertifiedSeptember 12, 2023
✔ NPI 1598920969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in ND · 10797✔ Licensed in MN · 60127✔ Licensed in TX · P5243
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 27254 (NE), 10797 (ND), PT 10797 (ND)
Also ListedHospitalistTaxonomy 208M00000X · License 10797 (ND)
200 1ST ST SW, Rochester, MN 55905

Secondary Practice Locations 3

Location 15719 NW Radial HwyOmaha, NE 68104-4141 · Phone (402) 575-3500 ext. 101 · Fax (402) 496-9922
Location 2801 Broadway NFargo, ND 58102 · Phone (701) 234-2000
Location 31025 Marsh StMankato, MN 56001-4752 · Phone (507) 625-4031

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mohamed S Toumeh Md 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 ID1052485125
PECOS Enrollment IDI20080807000317
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 Reassignments

4

Medicare enrollment records show Mohamed Toumeh reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Same address
Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 clinicians in this Medicare group
Multi-Specialty
501 STATE ST N
Waseca, MN 56093
  • Reassigned Medicare billing, Minnesota enrollment
  • 1,572 clinicians in this Medicare group
Physical Therapy
106 5TH ST SOUTH
Walker, MN 56484
  • Reassigned Medicare billing, Minnesota enrollment
  • 607 clinicians in this Medicare group
Rural Health
211 E MILL ST
Pelican Rapids, MN 56572
  • Reassigned Medicare billing, Minnesota and North Dakota enrollments
  • Also billed through NPI 1952323974 (North Dakota)
  • 376 clinicians in this Medicare group

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

Areas of Expertise CMS Part B claims 10

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
272 services217 patients
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.
239 services116 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
217 services79 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.
154 services94 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
126 services114 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
119 services97 patients

Hospital Affiliations CMS Care Compare 5

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

Sanford Medical Center Fargo

Acute Care Hospitals · Fargo, ND
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number350011
Location801 Broadway NorthFargo, ND 58122 · Cass County
Emergency services Birthing friendly

Sanford Mayville

Critical Access Hospitals · Mayville, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351309
Location42 6th Avenue SEMayville, ND 58257 · Traill County
Emergency services

Chi Mercy Health

Critical Access Hospitals · Valley City, ND
OwnershipVoluntary non-profit - Church
CMS Certification Number351324
Location570 Chautauqua BlvdValley City, ND 58072 · Barnes County
Emergency services

First Care Health Center

Critical Access Hospitals · Park River, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351326
Location115 Vivian StPark River, ND 58270 · Walsh County
Emergency services

Sanford Hillsboro

Critical Access Hospitals · Hillsboro, ND
OwnershipVoluntary non-profit - Private
CMS Certification Number351329
Location12 Third Street SEHillsboro, ND 58045 · Traill County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55905 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
8 suppliers74 claims3,450 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
3 suppliers17 claims2,550 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
9 suppliers41 claims7,344 services$0.17 avg. paid by Medicare
Mycophenolic acid, oral, 180 mg J7518
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers12 claims1,680 services$0.85 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
10 suppliers70 claims70 services$17.86 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
12 suppliers79 claims79 services$11.91 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.

Internal Medicine
200 1ST ST SW
ROCHESTER, MN 55905
Pathology (Clinical Pathology/Laboratory Medicine)
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Practitioner
200 1ST ST SW
ROCHESTER, MN 55905
Optometrist
200 1ST ST SW
ROCHESTER, MN 55905
Psychologist
200 1ST ST SW
ROCHESTER, MN 55905
Nurse Anesthetist, Certified Registered
200 1ST ST SW
ROCHESTER, MN 55905
Internal Medicine (Endocrinology, Diabetes & Metabolism)
200 1ST ST SW
ROCHESTER, MN 55905

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 Mohamed Toumeh's NPI number?

The NPI number for Mohamed Toumeh is 1598920969. It was assigned to this individual provider in the NPPES registry on July 24, 2008.

Where is Mohamed Toumeh located?

Mohamed Toumeh practices at 200 1st St SW, Rochester, MN 55905. The listed phone number is (507) 284-2511.

What is Mohamed Toumeh's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Mohamed Toumeh enrolled in Medicare?

Yes. Mohamed Toumeh 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.

Which organizations bill Medicare for Mohamed Toumeh's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mohamed Toumeh reassigns Medicare benefits to 4 organizations: Mayo Clinic (Rochester, MN), Mayo Clinic Health System-Southwest Minnesota Region (Waseca, MN), Sanford Health Of Northern Minnesota (Walker, MN) and Sanford Medical Center Fargo (Pelican Rapids, MN). Each 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 Mohamed Toumeh's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mohamed Toumeh accept?

Health plans from Blue Cross Blue Shield of North Dakota, Sanford Health Plan and Security Health Plan list Mohamed Toumeh 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 Mohamed Toumeh affiliated with any hospitals?

According to CMS data, Mohamed Toumeh is affiliated with Sanford Medical Center Fargo, Sanford Mayville, Chi Mercy Health, First Care Health Center and Sanford Hillsboro.

When was this NPI record last updated?

The NPPES record for Mohamed Toumeh was last updated on April 19, 2024. 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.