Active NPI
Khaled K. Bshesh, MD
- Pediatric Critical Care Medicine Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Critical Care Medicine Physician
- License
- 35076200
- Practice address
- 2213 Cherry St FL 6
Toledo, OH 43608-2603 - Phone
- (419) 251-3232
- NPI assigned
- Feb 22, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | 01050846 | IN | |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 35076200 | OH | Primary |
| Pediatric Critical Care Medicine Physician | 2080P0203X | 0101276445 | VA |
Addresses
Primary practice location
2213 Cherry St FL 6
Toledo, OH 43608-2603
Mailing address
2213 Cherry St FL 6
Toledo, OH 43608-2603
Phone (419) 251-3232
Other practice location 1
Hamad Medical Corporation
department of Pediatrics PICU
Doha, doha 000000
QA
Phone 97466198229
Other practice location 2
11115 Parkview Plaza Dr
Fort Wayne, IN 46845-1701
Phone (260) 266-5400
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64064488 | Medicaid | KY | |
| 200417730 | Medicaid | IN | |
| 20041130 | Medicaid | IN |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/ | ||
| Direct Messaging Address | kbshesh679141@Direct.Parkviewexchange.com | ||
| FHIR URL | https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01050846 | IN | MD | Pediatric Critical Care Medicine Physician |
| 35076200 | OH | MD | Pediatric Critical Care Medicine Physician |
| 0101276445 | VA | MD | Pediatric Critical Care Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| Hurley Medical Center | Current | Accepting new patients | |
| St Vincent Pediatric Subspecialties | Pediatric Critical Care Medicine | Current | Accepting new patients |
| St Vincent Pediatric Subspecialties | Current | Accepting new patients | |
| Parkview Health System Inc | Current | Accepting new patients |
Locations
3900 Washington Ave
Evansville, IN 47714
Phone (812) 485-7425
11115 Parkview Plaza Dr
Fort Wayne, IN 46845
Phone (260) 266-5400
240 S Jefferson St
Ste B
Huntington, IN 46750
Phone (219) 259-0000
2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617
512 Professional Way
Kendallville, IN 46755
Phone (260) 347-8556
5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445
1 Hurley Plz
Flint, MI 48503
Phone (810) 257-9000
Interoperability endpoints
- kbshesh679141@direct.parkviewexchange.com
- kbshesh92721@direct.hurleymc.com
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hurley OB/GYN Research & Education
- Obstetrics & Gynecology Physician
- Flint, MI
- NPI 1982630844
-
dba Parkview Physicians Group
- Family Medicine Physician
- Fort Wayne, IN
- NPI 1932130952
-
- Pediatrics Physician
- Indianapolis, IN
- NPI 1013967736
-
- Plastic and Reconstructive Surgery Physician
- Flint, MI
- NPI 1689345761
-
dba HurleyPediatric Research & Education
- Pediatrics Physician
- Flint, MI
- NPI 1821024910
-
- Pediatric Critical Care Medicine Physician
- Evansville, IN
- NPI 1851950224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172102400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759363200000",
"number": "1083749998",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2213 CHERRY ST FL 6",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082603",
"telephone_number": "419-251-3232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2213 CHERRY ST FL 6",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436082603",
"telephone_number": "419-251-3232"
}
],
"practiceLocations": [
{
"address_1": "Hamad Medical Corporation",
"address_2": "department of Pediatrics PICU",
"address_purpose": "LOCATION",
"city": "Doha",
"state": "doha",
"postal_code": "000000",
"country_code": "QA",
"telephone_number": "97466198229",
"country_name": "Qatar",
"address_type": "FGN"
},
{
"address_1": "11115 Parkview Plaza Dr",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468451701",
"country_code": "US",
"telephone_number": "260-266-5400",
"fax_number": "260-425-5715",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BSHESH",
"first_name": "KHALED",
"middle_name": "K.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-22",
"last_updated": "2025-10-02",
"certification_date": "2025-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "IN",
"license": "01050846",
"primary": false
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "OH",
"license": "35076200",
"primary": true
},
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "VA",
"license": "0101276445",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64064488",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200417730",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20041130",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/R4/",
"affiliation": "N",
"address_1": "11115 Parkview Plaza Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451701",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kbshesh679141@Direct.Parkviewexchange.com",
"affiliation": "N",
"address_1": "11115 Parkview Plaza Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451701",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicprod-mobile.parkview.com/FHIR/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "11115 Parkview Plaza Dr",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468451701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.