Individual provider Active NPI

Raad Toma, M.D.

  • Internal Medicine Physician
  • Sterling Heights, MI
National Provider Identifier
1447235015
Registry record updated Mar 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301052904 Issued in MI
Practice address
39150 Dequindre Rd Ste 200
Sterling Heights, MI 48310-6983
Phone
(586) 268-5440
NPI assigned
Dec 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301052904 MI Primary

Addresses

Primary practice location

39150 Dequindre Rd Ste 200
Sterling Heights, MI 48310-6983

Mailing address

15300 W 9 Mile Rd Ste 1
Oak Park, MI 48237-2585
Phone (248) 968-2003

Other practice location 1

15300 W 9 Mile Rd Ste 1
Oak Park, MI 48237-2585
Phone (248) 968-2003

Other identifiers 2

IdentifierTypeStateIssuer
1447235015MedicaidMI
700F314390OtherMIBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070712000266 MI Practitioner - Internal Medicine 4385641323 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Toma and Yaldo Medical Center PCGroup PAC ID 6507297348, 2 clinicians

Practice addresses (Care Compare)

39150 Dequindre Rd
Suite 200
Sterling Heights, MI 48310-6983
Phone (586) 268-5440

Hospital & facility affiliations

  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Beaumont Hospital, Troy Hospital, Troy, MI, CCN 230269
  • Beaumont Hospital - Farmington Hills Hospital, Farmington Hills, MI, CCN 230151

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301052904MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toma & Yaldo Medical Center PC Internal Medicine CurrentSince Mar 1, 2020 Accepting new patients

Locations

39150 Dequindre Rd
Ste 200
Sterling Hts, MI 48310
Phone (248) 444-8582

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584748800000",
    "number": "1447235015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15300 W 9 MILE RD STE 1",
            "city": "OAK PARK",
            "state": "MI",
            "postal_code": "482372585",
            "telephone_number": "248-968-2003",
            "fax_number": "248-967-2276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39150 DEQUINDRE RD STE 200",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483106983",
            "telephone_number": "586-268-5440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15300 W 9 Mile Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Oak Park",
            "state": "MI",
            "postal_code": "482372585",
            "country_code": "US",
            "telephone_number": "248-968-2003",
            "fax_number": "248-967-2276",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMA",
        "first_name": "RAAD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2020-03-21",
        "certification_date": "2020-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301052904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447235015",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "700F314390",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.