Organization Active NPI

Hematology & Oncology of Lima, Inc.

  • Specialist
  • Lima, OH
National Provider Identifier
1366537441
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
35074237K Issued in OH
Legal business name
HEMATOLOGY & ONCOLOGY OF LIMA, INC.
Practice address
825 W Market St Ste 203
Lima, OH 45805-2745
Phone
(419) 222-0808
Fax
(419) 222-0864
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Abbas KhalilNPI 1093716698
Title
President
Phone
(419) 222-0808

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 35074237K OH Primary

Addresses

Primary practice location

825 W Market St Ste 203
Lima, OH 45805-2745

Mailing address

825 W Market St Ste 203
Lima, OH 45805-2745
Phone (419) 222-0808

Other identifiers 1

IdentifierTypeStateIssuer
2080242MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100817000444 OH Part B Supplier - Clinic/Group Practice 9234263997 Receives reassigned benefits from 1 practitioner
Practice locations: Lima, OH; Van Wert, OH

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
36D1002851Hematology and Oncology of Lima Inc825 West Market Street Suite 203, Lima, OH 45805AccreditationSep 3, 2027

National Provider Directory

National Provider Directory

Locations

825 W Market St
Ste 203
Lima, OH 45805
Phone (419) 222-0808

140 Fox Rd
Ste 305
Van Wert, OH 45891
Phone (419) 222-0808

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366537441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 W MARKET ST STE 203",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052745",
            "telephone_number": "419-222-0808",
            "fax_number": "419-222-0864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 W MARKET ST STE 203",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458052745",
            "telephone_number": "419-222-0808",
            "fax_number": "419-222-0864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEMATOLOGY & ONCOLOGY OF LIMA, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "ABBAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "419-222-0808"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35074237K",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2080242",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.