MARTIN TOMA
NPI 1891629424
Nurse Practitioner - Family in Rochester, MI

Active since June 09, 2026PECOS Enrolled
201 MEADOW BROOK RD, ROCHESTER, MI 48309(586) 804-1925 Get Directions Write a Review

NPPES record last updated: June 9, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Martin Toma NPPES

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

MARTIN TOMA (NPI 1891629424) is an individual family provider in Rochester, Michigan, licensed in Michigan (4704384506NSA260GC) and active in the NPI registry since June 2026. He is enrolled in Medicare PECOS and is a graduate of Other (2026).

NPPES Registry Identity

NPI1891629424
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameMARTIN TOMA
Location Address201 MEADOW BROOK RDRochester, MI 48309-4451
Mailing Address201 Meadow Brook RdRochester, MI 48309-4451
Sole ProprietorNo
Medical School CMSOtherGraduated 2026
Enumeration DateJune 9, 2026
NPPES CertifiedJune 9, 2026
✔ NPI 1891629424 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in MI · 4704384506NSA260GC
201 MEADOW BROOK RD, Rochester, MI 48309

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Martin Toma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880150788
PECOS Enrollment IDI20260730005366
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

2

Medicare enrollment records show Martin Toma reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
26000 HOOVER RD
Warren, MI 48089
  • Reassigned Medicare billing, Michigan enrollment
  • 60 clinicians in this Medicare group
Urgent Care
20769 E 13 MILE RD
Roseville, MI 48066
  • Reassigned Medicare billing, Michigan enrollment
  • 31 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48309 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

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 Martin Toma's NPI number?

The NPI number for Martin Toma is 1891629424. It was assigned to this individual provider in the NPPES registry on June 9, 2026.

Where is Martin Toma located?

Martin Toma practices at 201 Meadow Brook Rd, Rochester, MI 48309. The listed phone number is (586) 804-1925.

What is Martin Toma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Martin Toma enrolled in Medicare?

Yes. Martin Toma is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Martin Toma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Toma reassigns Medicare benefits to 2 organizations: Hoover Urgent Care Of Warren PLLC (Warren, MI) and Roseville Urgent Care, PC (Roseville, MI). 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 Martin Toma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Martin Toma was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.