NICOLETA TOMA M.D.
NPI 1881823391
Internal Medicine in Biddeford, ME
About Nicoleta Toma M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NICOLETA TOMA M.D. (NPI 1881823391) is an individual internal medicine provider in Biddeford, Maine, licensed in Maine (MD19292) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Maine Medical Center, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses
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
Nicoleta Toma 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.
Medicare Billing Reassignments
3Medicare enrollment records show Nicoleta Toma reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Biddeford, ME 04005
- Reassigned Medicare billing, Maine enrollment
- Medicare enrollment name: Southern Maine Health Care
- 253 clinicians in this Medicare group
Biddeford, ME 04005
- Reassigned Medicare billing, Maine enrollment
- 3,140 clinicians in this Medicare group
Scarborough, ME 04074
- Reassigned Medicare billing, Maine enrollment
- Also billed through NPI 1710215751 (Maine), NPI 1144245028 (Maine)
- 206 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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Maine Medical Center
Acute Care Hospitals · Portland, MEPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 04005 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
BIDDEFORD, ME 04005
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 Nicoleta Toma's NPI number?
The NPI number for Nicoleta Toma is 1881823391. It was assigned to this individual provider in the NPPES registry on July 6, 2009.
Where is Nicoleta Toma located?
Nicoleta Toma practices at 46 Barra Rd, Biddeford, ME 04005. The listed phone number is (207) 283-7000.
What is Nicoleta Toma's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Nicoleta Toma enrolled in Medicare?
Yes. Nicoleta Toma 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 Nicoleta Toma's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Nicoleta Toma reassigns Medicare benefits to 3 organizations: Webber Hospital Association (Biddeford, ME), Mainehealth (Biddeford, ME) and Maine Medical Partners (Scarborough, ME). 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 Nicoleta Toma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Nicoleta Toma accept?
Health plans from Harvard Pilgrim Health Care and Taro Health list Nicoleta 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 Nicoleta Toma affiliated with any hospitals?
According to CMS data, Nicoleta Toma is affiliated with Maine Medical Center.
When was this NPI record last updated?
The NPPES record for Nicoleta Toma was last updated on March 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.