Active NPI
Koroush Khalighi, M.D.
- Clinical Cardiac Electrophysiology Physician
- Dayton, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Cardiac Electrophysiology Physician
- License
- MD041360-L
- Practice address
- 122 Wyoming Street
Dayton, OH 45409-2731 - Phone
- (937) 223-4461
- NPI assigned
- Jun 9, 2005
- 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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 25MA056515 | NJ | |
| Cardiovascular Disease Physician | 207RC0000X | MD066096-L | PA | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 25MA068440 | NJ | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 102020 | WI | |
| Nuclear Cardiology Physician | 207UN0901X | MD041360-L | PA | |
| Nuclear Cardiology Physician | 207UN0901X | 25MA056515 | NJ | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | MD041360-L | PA | Primary |
Addresses
Primary practice location
122 Wyoming Street
Dayton, OH 45409-2731
Mailing address
PO Box 783311
Philadelphia, PA 19178-3311
Phone (484) 884-4500
Other practice location 1
1768 Zinfandel Ct W
Easton, PA 18045-5441
Phone (610) 442-2082
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2026901 | Other | PA | CAPITAL BLUE CROSS |
| 674485 | Other | PA | KEYSTONE CAPITAL |
| 9051056 | Other | PA | CIGNA PA |
| P718311 | Other | PA | OXFORD |
| 1459106 | Other | PA | HIGHMARK PA |
| 563332 | Other | PA | AETNA US HEALTHCARE |
| 20010114 | Medicaid | PA | |
| 674485 | Other | NJ | HIGHMARK NJ |
| 1580148 | Medicaid | PA | |
| 4643704 | Medicaid | NJ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, WI, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
122 Wyoming St
Dayton, OH 45409-2731
Phone (937) 438-8640
2649 Schoenersville Rd
Suite 301
Bethlehem, PA 18017-7332
Phone (610) 866-2233
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MA068440 | NJ | MD | Cardiovascular Disease Physician |
| MD066096-L | PA | MD | Cardiovascular Disease Physician |
| 25MA056515 | NJ | MD | Nuclear Cardiology Physician |
| MD041360-L | PA | MD | Nuclear Cardiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Conemaugh Meyersdale Medical Center LLC | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| Susquehanna Physician Services | Cardiovascular Disease | Current | Accepting new patients |
| Susquehanna Physician Services | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| DLP Conemaugh Miners Medical Center LLC | Current | Accepting new patients | |
| Prohealth Medical Group Inc | Current | Accepting new patients | |
| DLP Conemaugh Meyersdale Medical Center LLC | Current | Accepting new patients | |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Premier Health Specialists Inc | Current | Accepting new patients | |
| DLP Conemaugh Physician Practices LLC | Current | Accepting new patients | |
| DLP Conemaugh Miners Medical Center LLC | Cardiovascular Disease | Current | Accepting new patients |
| DLP Conemaugh Physician Practices LLC | Cardiovascular Disease | Current | Accepting new patients |
| Prohealth Medical Group Inc. | Current | Accepting new patients | |
| DLP Conemaugh Memorial Medical Center LLC | Current | Accepting new patients | |
| Premier Health Specialists Inc | Cardiovascular Disease | Current | Accepting new patients |
| DLP Conemaugh Memorial Medical Center LLC | Cardiovascular Disease | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients | |
| Easton Cardiovascular Assoc., PC | Cardiovascular Disease | Current | Accepting new patients |
| Lehigh Valley Physician Group | Current | Accepting new patients |
Locations
30 E Apple St
#6258
Dayton, OH 45409
Phone (937) 208-5300
122 Wyoming St
Dayton, OH 45409
Phone (937) 438-8640
3170 Kettering Blvd
Bldg B
Moraine, OH 45439
Phone (937) 991-3187
450 N Hyatt St
Ste 304
Tipp City, OH 45371
Phone (937) 832-4773
2100 Mack Blvd
Allentown, PA 18103
Phone (484) 224-1892
2649 Schoenersville Rd
Ste 301
Bethlehem, PA 18017
Phone (484) 884-4799
2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888
3780 Hecktown Rd
Easton, PA 18045
Phone (484) 561-6593
2001 Fairview Ave
Easton, PA 18042
Phone (610) 258-4337
1111 Franklin St
Ste 180
Johnstown, PA 15905
Phone (814) 534-3740
1086 Franklin St
Johnstown, PA 15905
Phone (610) 250-4540
1 Tech Park Dr
Johnstown, PA 15901
Phone (814) 475-8600
5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641
200 Hospital Dr
Meyersdale, PA 15552
Phone (814) 634-5911
312 Industrial Park Rd
Meyersdale, PA 15552
Phone (814) 534-9123
320 W Pumping Station Rd
Quakertown, PA 18951
Phone (215) 529-4240
334 Main St
Scranton, PA 18519
Phone (570) 307-1767
1201 Grampian Blvd
Williamsport, PA 17701
Phone (570) 326-8723
700 High St
Williamsport, PA 17701
Phone (570) 321-1000
740 High St
Ste 2001
Williamsport, PA 17701
Phone (570) 321-2805
791 Summit Ave
Summit, WI 53066
Phone (262) 569-0251
725 American Ave
Waukesha, WI 53188
Phone (262) 544-2011
N17W24100 Riverwood Dr
Waukesha, WI 53188
Phone (262) 820-3093
Interoperability endpoints
- kkhalighi170868@direct.phci.org
- kkhalighi114255@direct2.lvhn.org
Organizations & group practices 21
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.
-
- Internal Medicine Physician
- Moraine, OH
- NPI 1194958223
Cardiovascular Disease
-
dba LVPG Developmental Pediatrics
- Developmental - Behavioral Pediatrics Physician
- Allentown, PA
- NPI 1780155689
-
- Family Medicine Physician
- Johnstown, PA
- NPI 1669873881
Cardiovascular Disease
-
- Family Medicine Physician
- Meyersdale, PA
- NPI 1932500154
-
dba Miners Hospital Emergency Physician Group
- Emergency Medicine Physician
- Hastings, PA
- NPI 1629471768
-
dba Conemaugh Physician Group Cresson
- Family Medicine Physician
- Cresson, PA
- NPI 1932515905
-
- Pediatrics Physician
- Waukesha, WI
- NPI 1356322440
-
dba Susquehanna Health Medical Group
- Cardiovascular Disease Physician
- Williamsport, PA
- NPI 1861431116
-
dba Premier OBGyn
- Obstetrics & Gynecology Physician
- Springboro, OH
- NPI 1558667261
-
dba Advanced Ankle and Foot Specialists
- Foot & Ankle Surgery Podiatrist
- Dayton, OH
- NPI 1902211287
-
dba Conemaugh Diabetes Institute
- Registered Dietitian
- Johnstown, PA
- NPI 1760154975
-
dba Conemaugh Meyersdale Medical Center
- Critical Access Hospital
- Meyersdale, PA
- NPI 1659376358
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Allentown, PA
- NPI 1164400131
-
- Psychiatric Hospital Unit
- Bethlehem, PA
- NPI 1609834001
-
- Children's Hospital
- Allentown, PA
- NPI 1952954307
-
- General Acute Care Hospital
- East Stroudsburg, PA
- NPI 1568459436
-
dba Lehigh Valley Hospital - Dickson City
- General Acute Care Hospital
- Dickson City, PA
- NPI 1396402053
-
dba St. Luke's Hospital-Sacred Heart Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1366011413
-
dba St. Luke's Hospital - Anderson Campus
- General Acute Care Hospital
- Easton, PA
- NPI 1376339226
-
dba St. Luke's Hospital-Lehighton Campus
- General Acute Care Hospital
- Lehighton, PA
- NPI 1528737988
-
- General Acute Care Hospital
- Bethlehem, PA
- NPI 1013933175
-
dba St. Luke's Hospital - Allentown Campus
- General Acute Care Hospital
- Allentown, PA
- NPI 1548293954
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744761600000",
"number": "1356345193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 783311",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191783311",
"telephone_number": "484-884-4500",
"fax_number": "484-884-0699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "122 WYOMING STREET",
"city": "DAYTON",
"state": "OH",
"postal_code": "454092731",
"telephone_number": "937-223-4461"
}
],
"practiceLocations": [
{
"address_1": "1768 Zinfandel Ct W",
"address_purpose": "LOCATION",
"city": "Easton",
"state": "PA",
"postal_code": "180455441",
"country_code": "US",
"telephone_number": "610-442-2082",
"fax_number": "610-438-2419",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KHALIGHI",
"first_name": "KOROUSH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2025-04-16",
"certification_date": "2025-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NJ",
"license": "25MA056515",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "PA",
"license": "MD066096-L",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "NJ",
"license": "25MA068440",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "WI",
"license": "102020",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "PA",
"license": "MD041360-L",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "NJ",
"license": "25MA056515",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "PA",
"license": "MD041360-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BLUE CROSS",
"identifier": "2026901",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE CAPITAL",
"identifier": "674485",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PA",
"identifier": "9051056",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P718311",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK PA",
"identifier": "1459106",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "563332",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "20010114",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK NJ",
"identifier": "674485",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1580148",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4643704",
"state": "NJ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dayton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; 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.