Individual provider Active NPI

Koroush Khalighi, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Dayton, OH
National Provider Identifier
1356345193
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD041360-L Issued in PA
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

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
2026901OtherPACAPITAL BLUE CROSS
674485OtherPAKEYSTONE CAPITAL
9051056OtherPACIGNA PA
P718311OtherPAOXFORD
1459106OtherPAHIGHMARK PA
563332OtherPAAETNA US HEALTHCARE
20010114MedicaidPA
674485OtherNJHIGHMARK NJ
1580148MedicaidPA
4643704MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, WI, OH3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20101025000746 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Nuclear Medicine 9537352372 Reassigns benefits to 6 organizations
I20240820000587 WI Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 9537352372 Reassigns benefits to 1 organization
I20250430000517 OH Practitioner - Cardiovascular Disease (Cardiology) 9537352372 Reassigns benefits to 1 organization

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
Premier Health Specialists IncGroup PAC ID 5597708594, 576 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

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

LicenseStateTypeSpecialty
25MA068440NJMDCardiovascular Disease Physician
MD066096-LPAMDCardiovascular Disease Physician
25MA056515NJMDNuclear Cardiology Physician
MD041360-LPAMDNuclear Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Conemaugh Meyersdale Medical Center LLC CurrentSince Mar 30, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC CurrentSince Nov 1, 2023 Accepting new patients
Susquehanna Physician Services Cardiovascular Disease CurrentSince Nov 1, 2024 Accepting new patients
Susquehanna Physician Services CurrentSince Nov 1, 2024 Accepting new patients
Premier Health Specialists Inc CurrentSince Jun 2, 2025 Accepting new patients
DLP Conemaugh Miners Medical Center LLC CurrentSince Mar 30, 2024 Accepting new patients
Prohealth Medical Group Inc CurrentSince Aug 1, 2024 Accepting new patients
DLP Conemaugh Meyersdale Medical Center LLC Current Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 8, 2019 Accepting new patients
Premier Health Specialists Inc CurrentSince Jun 2, 2025 Accepting new patients
DLP Conemaugh Physician Practices LLC Current Accepting new patients
DLP Conemaugh Miners Medical Center LLC Cardiovascular Disease CurrentSince Mar 30, 2024 Accepting new patients
DLP Conemaugh Physician Practices LLC Cardiovascular Disease CurrentSince Nov 1, 2023 Accepting new patients
Prohealth Medical Group Inc. CurrentSince Aug 1, 2024 Accepting new patients
DLP Conemaugh Memorial Medical Center LLC CurrentSince Mar 30, 2024 Accepting new patients
Premier Health Specialists Inc Cardiovascular Disease Current Accepting new patients
DLP Conemaugh Memorial Medical Center LLC Cardiovascular Disease CurrentSince Mar 30, 2024 Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 8, 2019 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

  • Direct secure messaging: kkhalighi170868@direct.phci.org
  • Direct secure messaging: 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.

View all 21

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

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

Verify at the official NPI Registry.