Individual provider Active NPI

Khalid M Minhas, MD

  • Interventional Cardiology Physician
  • Perrysburg, OH
National Provider Identifier
1093925539
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
35.140665 Issued in OH
Practice address
12623 Eckel Junction Rd Ste 2600
Perrysburg, OH 43551-1304
Phone
(567) 368-1490
Fax
(567) 368-1478
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X ME101950 FL
Cardiovascular Disease Physician 207RC0000X ME101950 FL
Interventional Cardiology Physician 207RI0011X 35.140665 OH Primary

Addresses

Primary practice location

12623 Eckel Junction Rd Ste 2600
Perrysburg, OH 43551-1304

Mailing address

12623 Eckel Junction Rd
Perrysburg, OH 43551-1304

Other identifiers 1

IdentifierTypeStateIssuer
0421748MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201021001804 OH Practitioner - Interventional Cardiology 2961675368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

12623 Eckel Junction Rd
Suite 2600
Perrysburg, OH 43551-1304
Phone (419) 442-0222

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.140665OHMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Feb 24, 2025 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Cardiovascular Disease CurrentSince Feb 24, 2025 Accepting new patients
Miramar Ekg Readers Cardiovascular Disease Past Accepting new patients

Locations

12623 Eckel Junction Rd
Perrysburg, OH 43551
Phone (567) 368-1434

12623 Eckel Junction Rd
Ste 2600
Perrysburg, OH 43551
Phone (567) 368-1490

3425 Executive Pkwy
Ste 200
Toledo, OH 43606
Phone (419) 475-4666

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: kminhas2470323@direct.bsmhealth.org

Organizations & group practices 3

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 6

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1093925539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12623 ECKEL JUNCTION RD",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12623 ECKEL JUNCTION RD STE 2600",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435511304",
            "telephone_number": "567-368-1490",
            "fax_number": "567-368-1478"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MINHAS",
        "first_name": "KHALID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME101950",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME101950",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "OH",
            "license": "35.140665",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0421748",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Perrysburg, OH

Sources for this page

Verify at the official NPI Registry.