DR. WAEL TOAMA MD
NPI 1821437054
Internal Medicine - Hematology & Oncology in Saint Paul, MN

Active since June 20, 2013PECOS EnrolledAccepts Medicare Assignment
640 JACKSON ST, SAINT PAUL, MN 55101(651) 254-3448 Get Directions Write a Review

NPPES record last updated: September 15, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 15, 2022, Aug 2, 2022 (2 updates tracked since 2022).

About Dr. Wael Toama Md NPPES

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

DR. WAEL TOAMA MD (NPI 1821437054) is an individual hematology & oncology provider in Saint Paul, Minnesota, licensed in Minnesota (70712) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Park Nicollet Methodist Hospital, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1821437054
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. WAEL TOAMACredential: MD
Location Address640 JACKSON STSaint Paul, MN 55101-2502
Mailing Address8170 33rd Ave S # Ms 21110qMinneapolis, MN 55425-4516
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJune 20, 2013
Last NPPES UpdateSeptember 15, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 15, 2022
NPI 1821437054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in MN · 70712
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License 70712 (MN)
640 JACKSON ST, Saint Paul, MN 55101

Other Identifiers 1

MedicaidENROLLEDIL

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

Dr. Wael Toama 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 ID7315161908
PECOS Enrollment IDI20220617001540
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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
70 services23 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.
44 services25 patients
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.
40 services16 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
40 services14 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
25 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Park Nicollet Methodist Hospital

Acute Care Hospitals · Saint Louis Park, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240053
Location6500 Excelsior BlvdSaint Louis Park, MN 55426 · Hennepin County
Emergency services Birthing friendly

Regions Hospital

Acute Care Hospitals · Saint Paul, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240106
Location640 Jackson StreetSaint Paul, MN 55101 · Ramsey County
Emergency services Birthing friendly

Mercy Hospital

Acute Care Hospitals · Coon Rapids, MN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240115
Location4050 Coon Rapids BlvdCoon Rapids, MN 55433 · Anoka County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 55101 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
$168.28 typical visit price
range $56.00 – $168.28
Typical copayment $42.07 (range $14.00 – $42.07)
Most-billed visit code 99205
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%35 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Internal Medicine
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST
SAINT PAUL, MN 55101
Orthopaedic Surgery
640 JACKSON ST
SAINT PAUL, MN 55101
Nurse Anesthetist, Certified Registered
640 JACKSON ST, MAIL STOP 11503P
ST PAUL, MN 55101
Pathology (Anatomic Pathology & Clinical Pathology)
640 JACKSON ST, MC 11103E
ST PAUL, MN 55101

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 Wael Toama's NPI number?

The NPI number for Wael Toama is 1821437054. It was assigned to this individual provider in the NPPES registry on June 20, 2013.

Where is Wael Toama located?

Wael Toama practices at 640 Jackson St, Saint Paul, MN 55101. The listed phone number is (651) 254-3448.

What is Wael Toama's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Wael Toama enrolled in Medicare?

Yes. Wael Toama 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 Wael Toama accept?

Health plans from HealthPartners and Medica list Wael Toama 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 Wael Toama affiliated with any hospitals?

According to CMS data, Wael Toama is affiliated with Park Nicollet Methodist Hospital, Regions Hospital and Mercy Hospital.

When was this NPI record last updated?

The NPPES record for Wael Toama was last updated on September 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.