Active NPI
Omar R Kahaly, M.D.
- Clinical Cardiac Electrophysiology Physician
- Toledo, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- 35124986
- Practice address
- 2940 N McCord Rd
Toledo, OH 43615-1753 - Phone
- (419) 842-3000
- Fax
- (419) 842-3047
- NPI assigned
- Mar 30, 2012
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 35.124986 | OH | |
| Internal Medicine Physician | 207R00000X | 4301502705 | MI | |
| Internal Medicine Physician | 207R00000X | 57.021624 | OH | |
| Cardiovascular Disease Physician | 207RC0000X | 35124986 | OH | |
| Cardiovascular Disease Physician | 207RC0000X | 4301502705 | MI | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 4301502705 | MI | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 35124986 | OH | Primary |
Addresses
Primary practice location
2940 N McCord Rd
Toledo, OH 43615-1753
Mailing address
100 Madison Ave
Toledo, OH 43604-1516
Other practice location 1
730 N Macomb St Ste 228
Monroe, MI 48162-3087
Phone (734) 242-7060
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | okahaly201762@epicdirect.promedica.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Cardiac Electrophysiology
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Promedica Northwest Ohio Cardiology Consultants LLC
Practice addresses (Care Compare)
2940 N McCord Rd
Toledo, OH 43615-1753
Phone (419) 842-3000
718 N Macomb St
Mercy Memorial Hosp
Monroe, MI 49161-7815
Phone (734) 240-4557
Hospital & facility affiliations
- Promedica Toledo Hospital
- Promedica Charles and Virginia Hickman Hospital
- Bay Park Community Hospital
- Promedica Defiance Regional Hospital
- Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 57 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57.021624 | OH | MD | Internal Medicine Physician |
| 35124986 | OH | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Consultants in Laboratory Medicine of Greater Toledo | Current | Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients | |
| Promedica Northwest Ohio Cardiology Consultants, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Promedica Northwest Ohio Cardiology Consultants, LLC | Cardiovascular Disease | Current | Accepting new patients |
| The Toledo Hospital | Current | Accepting new patients | |
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients |
Locations
5640 N Adrian Hwy
Ste A
Adrian, MI 49221
Phone (517) 577-0525
770 Riverside Ave
Ste 106
Adrian, MI 49221
Phone (517) 266-0525
730 N Macomb St
Ste 228
Monroe, MI 48162
Phone (734) 242-7060
730 N Macomb St
Ste 429
Monroe, MI 48162
Phone (313) 242-7060
730 N Macomb St
Monroe, MI 48162
Phone (734) 240-1760
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
1037 Conneaut Ave
Ste 202
Bowling Green, OH 43402
Phone (419) 354-0104
715 S Taft Ave
Ste 195
Fremont, OH 43420
Phone (419) 333-9533
5705 Monclova Rd
Ste 202
Maumee, OH 43537
Phone (419) 891-0136
1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045
615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
2940 N McCord Rd
#100
Toledo, OH 43615
Phone (419) 842-3000
2940 N McCord Rd
Toledo, OH 43615
Phone (419) 842-3000
333 N Summit St
Fl 7
Toledo, OH 43604
Phone (419) 252-5909
734 S Shoop Ave
Ste B
Wauseon, OH 43567
Phone (419) 337-9995
725 S Shoop Ave
Ste G101
Wauseon, OH 43567
Interoperability endpoints
- okahaly201762@direct.promedica.org
Organizations & group practices 7
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.
-
- Cardiac Rehabilitation Registered Nurse
- Toledo, OH
- NPI 1649559394
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- Toledo, OH
- NPI 1780820555
MI
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- Anatomic Pathology & Clinical Pathology Physician
- Toledo, OH
- NPI 1982673372
-
- Clinical Psychologist
- Toledo, OH
- NPI 1083843031
-
- Community/Retail Pharmacy
- Toledo, OH
- NPI 1740217678
-
- Hematology & Oncology Physician
- Lambertville, MI
- NPI 1841296605
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Oregon, OH
- NPI 1598765539
-
- Critical Access Hospital
- Defiance, OH
- NPI 1699775726
-
- General Acute Care Hospital
- Fremont, OH
- NPI 1851338149
-
- General Acute Care Hospital
- Toledo, OH
- NPI 1407854771
-
- General Acute Care Hospital
- Adrian, MI
- NPI 1972564730
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1124394564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MADISON AVE",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436041516"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2940 N MCCORD RD",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436151753",
"telephone_number": "419-842-3000",
"fax_number": "419-842-3047"
}
],
"practiceLocations": [
{
"address_1": "730 N Macomb St Ste 228",
"address_purpose": "LOCATION",
"city": "Monroe",
"state": "MI",
"postal_code": "481623087",
"country_code": "US",
"telephone_number": "734-242-7060",
"fax_number": "734-241-7580",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAHALY",
"first_name": "OMAR",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-03-30",
"last_updated": "2023-11-03",
"certification_date": "2023-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.124986",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301502705",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "57.021624",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "OH",
"license": "35124986",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MI",
"license": "4301502705",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MI",
"license": "4301502705",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "OH",
"license": "35124986",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "okahaly201762@epicdirect.promedica.org",
"affiliation": "N",
"address_1": "100 Madison Ave",
"city": "Toledo",
"state": "OH",
"country_code": "US",
"postal_code": "436041516",
"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 Nov 3, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.