Individual provider Active NPI

Omar R Kahaly, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Toledo, OH
National Provider Identifier
1124394564
Registry record updated Nov 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
35124986 Issued in OH
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

Updated by the provider on Nov 3, 2023

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address okahaly201762@epicdirect.promedica.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, OH2 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
I20200903000899 MI Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Cardiac Electrophysiology 5193966802 Reassigns benefits to 1 organization
I20200904001836 OH Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 5193966802 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Promedica Northwest Ohio Cardiology Consultants LLCGroup PAC ID 4981752938, shared by 2 NPIs, 84 clinicians

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 Hospital, Toledo, OH, CCN 360068
  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259
  • Promedica Defiance Regional Hospital Hospital, Defiance, OH, CCN 361328
  • Memorial Hospital Hospital, Fremont, OH, CCN 360156

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair57
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57.021624OHMDInternal Medicine Physician
35124986OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Laboratory Medicine of Greater Toledo Current Accepting new patients
The Toledo Hospital CurrentSince Aug 1, 2020 Accepting new patients
The Toledo Hospital CurrentSince Aug 1, 2020 Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC Cardiovascular Disease CurrentSince Aug 1, 2020 Accepting new patients
Promedica Northwest Ohio Cardiology Consultants, LLC Cardiovascular Disease CurrentSince Aug 1, 2020 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.