SAMEER TOLAY (MD) – Hematology & Oncology Physician, NPI 1376899393

SAMEER TOLAY (MD) is a healthcare provider. based in Fond du lac, Wisconsin. specializing in HEMATOLOGY/ONCOLOGY. They hold the professional credentials MD. They hold a License No. 68436 (WI). The NPI Number for SAMEER TOLAY (MD) is 1376899393

Main info

Male
16 Years Of Experience
Accepts Medicare Assignment
Name
SAMEER TOLAY (MD)
NPI
1376899393
Phone
(920) 926-4100
Address
480 E DIVISION ST
Enumeration Date
27 July 2012
Last Update Date
2 October 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9209264100
Graduation Year
2010 (16 years ago)
PAC ID
3577791789
Group Practice PAC ID
1658289624
Professional Enrollment ID
I20180913003447
Address ID
WI549353734FO480XXSTXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

350 HEMATOLOGY/ONCOLOGY in WI

Provider Addresses for SAMEER TOLAY (MD)

  • 480 E DIVISION ST

    FOND DU LAC, WI 549353734

    Phone: (920) 926-4100

    Fax: (920) 926-4190

    Type: Location

  • 420 E DIVISION ST

    FOND DU LAC, WI 549354560

    Phone: (920) 926-8340

    Fax: (920) 926-8370

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-09-13

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180913003447IHematology/OncologyWITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J1100Injection, dexamethasone sodium phosphate, 1 mg1,63823$0
J2469Injection, palonosetron hcl, 25 mcg88016$0
96375Injection of additional new drug or substance into vein36829$0
96413Administration of chemotherapy into vein, 1 hour or less24939$0
99214Established patient office or other outpatient visit, 30-39 minutes230100$0
View full utilization report →

Insurance plans in this area (ZIP 54935)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658289624View full group profile
NameSpecialtyState
Emergency Medicine, Internal MedicineWI
U R O L O G YWI
Certified Registered Nurse Anesthetist (Crna)WI
-WI
U R O L O G YWI
-WI
P S Y C H I A T R YWI
Certified Registered Nurse Anesthetist (Crna)WI
Vascular Surgery, General SurgeryWI
-ND

Reviews

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Frequently asked questions

What NPI should I save for SAMEER TOLAY (MD)?
Save NPI 1376899393 if you need a stable reference for SAMEER TOLAY (MD).
Is SAMEER TOLAY (MD)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize SAMEER TOLAY (MD)'s specialty in plain language?
Clinically, the directory lists SAMEER TOLAY (MD) with Hematology & Oncology Physician. Clinical services aligned with this taxonomy classification.
Where is SAMEER TOLAY (MD)'s primary listing?
We display Fond Du Lac, Wisconsin because that is what the record indicates for SAMEER TOLAY (MD).
What if Fond Du Lac, Wisconsin seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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