NPIMap

Individual provider Active NPI

Khaled M N Abuhanttash, M.D.

  • Hospitalist Physician
  • Toledo, OH
National Provider Identifier
1184889180
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
35.122846 Issued in OH
Practice address
2213 Cherry St Unit B
Toledo, OH 43608-2603
Phone
(192) 515-1554
Fax
(419) 251-5160
NPI assigned
Jul 19, 2008
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 35.122846 OH Primary
Hospitalist Physician 208M00000X 25755 NE

Addresses

Primary practice location

2213 Cherry St Unit B
Toledo, OH 43608-2603

Mailing address

2213 Cherry St Unit B
Toledo, OH 43608-2603

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140620000981 OH Practitioner - Internal Medicine 0143344382 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paulding County Hospital Physician ServicesGroup PAC ID 8820983893, 17 clinicians
Mercy Medical Partners Northern Region LLCGroup PAC ID 0244407823, 21 clinicians
Mercy Medical Partners Northern Region Specialty Care LLCGroup PAC ID 9739585480, 86 clinicians

Practice addresses (Care Compare)

1035 W Wayne St
Paulding, OH 45879-1544
Phone (419) 399-4080

1400 E 2ND St
Defiance, OH 43512-2440
Phone (419) 784-1414

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Feb 28, 2025 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Feb 28, 2025 Accepting new patients
Hospital Care Group, P.C. CurrentSince Feb 26, 2018 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Hospitalist CurrentSince Feb 28, 2025 Accepting new patients
Wood Health Company LLC CurrentSince Apr 1, 2019 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Feb 28, 2025 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Feb 28, 2025 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC Hospitalist CurrentSince Feb 28, 2025 Accepting new patients
Paulding County Hospital Physician Services CurrentSince Oct 20, 2025 Accepting new patients
Henry County Hospital Inc Past Accepting new patients
Mercy Health - St Vincent Medical Center LLC Past Accepting new patients
Mercy Health - Defiance Hospital LLC Past Accepting new patients
Brookview Operating Company LLC Past Accepting new patients

Locations

745 Haskins Rd
Ste B
Bowling Green, OH 43402
Phone (419) 373-7607

950 W Wooster St
Bowling Green, OH 43402
Phone (419) 354-8900

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

141 N Keyser Ave
Deshler, OH 43516
Phone (419) 278-2065

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

1032 W Wayne St
Paulding, OH 45879
Phone (419) 399-1104

1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080

2213 Cherry St
Unit B
Toledo, OH 43608
Phone (419) 251-5155

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

725 S Shoop Ave
Wauseon, OH 43567
Phone (419) 335-2015

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: kabuhanttash228214@direct.parkviewexchange.com
  • Direct secure messaging: kabuhanttash2776005@direct.bsmhealth.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 5

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": "1216425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1184889180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST UNIT B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 CHERRY ST UNIT B",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082603",
            "telephone_number": "192-515-1554",
            "fax_number": "419-251-5160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABUHANTTASH",
        "first_name": "KHALED",
        "middle_name": "M N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-19",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "OH",
            "license": "35.122846",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NE",
            "license": "25755",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.