Individual provider Active NPI

Khaled K. Bshesh, MD

  • Pediatric Critical Care Medicine Physician
  • Toledo, OH
National Provider Identifier
1083749998
Registry record updated Oct 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Critical Care Medicine PhysicianTaxonomy code 2080P0203X
License
35076200 Issued in OH
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

Updated by the provider on Oct 2, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
64064488MedicaidKY
200417730MedicaidIN
20041130MedicaidIN

Electronic endpoints 3

TypeEndpointUseAffiliation
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, MI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051006000397 IN Practitioner - Pediatric MedicinePractitioner - Critical Care (Intensivists) 4587689856 Reassigns benefits to 2 organizations
I20200314000372 MI Practitioner - Pediatric Medicine 4587689856 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01050846INMDPediatric Critical Care Medicine Physician
35076200OHMDPediatric Critical Care Medicine Physician
0101276445VAMDPediatric Critical Care Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hurley Medical Center CurrentSince Feb 1, 2020 Accepting new patients
Hurley Medical Center Current Accepting new patients
Hurley Medical Center CurrentSince Feb 1, 2020 Accepting new patients
St Vincent Pediatric Subspecialties Pediatric Critical Care Medicine CurrentSince Mar 1, 2022 Accepting new patients
St Vincent Pediatric Subspecialties CurrentSince Mar 1, 2022 Accepting new patients
Parkview Health System Inc CurrentSince Sep 1, 2025 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

  • Direct secure messaging: kbshesh679141@direct.parkviewexchange.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.