Individual provider Active NPI

Samiya Umer Khan, APRN-CNP

  • Family Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1356141337
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN.CNP.0038539 Issued in OH
Practice address
2940 N McCord Rd
Toledo, OH 43615-1753
Phone
(419) 842-3000
NPI assigned
Mar 18, 2025
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN.CNP.0038539 OH Primary

Addresses

Primary practice location

2940 N McCord Rd
Toledo, OH 43615-1753

Mailing address

10141 S Shannon Hills Dr
Perrysburg, OH 43551-2697
Phone (419) 290-4415

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, MI2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250429001325 OH Practitioner - Nurse Practitioner 2961928338 Reassigns benefits to 1 organization
I20250430002394 MI Practitioner - Nurse Practitioner 2961928338 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Toledo College of Medicine, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2940 N McCord Rd
Toledo, OH 43615-1753
Phone (419) 842-3000

730 N Macomb St
Suite 228
Monroe, MI 48162-3087
Phone (734) 242-7060

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0038539OHMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Promedica Northwest Ohio Cardiology Consultants, LLC CurrentSince Apr 1, 2025 Accepting new patients
Promedica Northwest Ohio Cardiology Consultants Single Specialty CurrentSince Apr 1, 2025 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

1037 Conneaut Ave
Ste 202
Bowling Green, OH 43402
Phone (419) 354-0104

501 Van Buren St
Ste 103
Fostoria, OH 44830

715 S Taft Ave
Ste 195
Fremont, OH 43420
Phone (419) 333-9533

615 Fulton St
Port Clinton, OH 43452
Phone (419) 734-3131

2121 Hughes Dr
Ste 710
Toledo, OH 43606
Phone (419) 291-2610

2940 N McCord Rd
Toledo, OH 43615
Phone (419) 842-3000

4041 W Sylvania Ave
Ste 204
Toledo, OH 43623
Phone (419) 725-3300

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

Organizations & group practices 2

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.

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": "1742256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1356141337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10141 S SHANNON HILLS DR",
            "city": "PERRYSBURG",
            "state": "OH",
            "postal_code": "435512697",
            "telephone_number": "419-290-4415"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAN",
        "first_name": "SAMIYA",
        "middle_name": "UMER",
        "credential": "APRN-CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-18",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OH",
            "license": "APRN.CNP.0038539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.