Individual provider Active NPI

Khawaja Shahzad, M.D.

  • Psychiatry Physician
  • Toledo, OH
National Provider Identifier
1629193123
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35 084027 Issued in OH
Practice address
2770 Centennial Rd
Toledo, OH 43617-1829
Phone
(419) 794-0567
Fax
(419) 794-0569
NPI assigned
Mar 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 35 084027 OH Primary
Child & Adolescent Psychiatry Physician 2084P0804X 35 084027 OH

Addresses

Primary practice location

2770 Centennial Rd
Toledo, OH 43617-1829

Mailing address

2770 Centennial Rd
Toledo, OH 43617-1829
Phone (419) 794-0567

Other identifiers 4

IdentifierTypeStateIssuer
4641013MedicaidMI
2527359MedicaidOH
04543OtherPARAMOUNT HEALTH CARE
734628-000OtherMAGELLAN HEALTH SERVICES

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: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040604000079 OH Practitioner - Psychiatry 7315929148 Reassigns benefits to 2 organizations
I20260506001881 MI Practitioner - Psychiatry 7315929148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comprehensive Behavioral Health Services LLCGroup PAC ID 2264502541, 16 clinicians

Practice addresses (Care Compare)

2770 Centennial Rd
Toledo, OH 43617-1829
Phone 4197940567122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35 084027OHMDChild & Adolescent Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Zion Healing Center of Grand Rapids LLC Psychiatry CurrentSince Apr 1, 2026 Accepting new patients
TMS Solutions Inc Psychiatry CurrentSince Jan 5, 2026 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
State of Michigan Office of Financial Management Past Accepting new patients

Locations

3501 Lake Eastbrook Blvd SE
Ste 150
Grand Rapids, MI 49546
Phone (616) 460-1168

5300 Harroun Rd
Ste 212
Sylvania, OH 43560
Phone (419) 291-3100

765 E Holland Ave
Ste 1
Spokane, WA 99218
Phone (509) 242-6005

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1629193123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2770 CENTENNIAL RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171829",
            "telephone_number": "419-794-0567",
            "fax_number": "419-794-0569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2770 CENTENNIAL RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436171829",
            "telephone_number": "419-794-0567",
            "fax_number": "419-794-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHZAD",
        "first_name": "KHAWAJA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-21",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35 084027",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "OH",
            "license": "35 084027",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4641013",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2527359",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARAMOUNT HEALTH CARE",
            "identifier": "04543",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN HEALTH SERVICES",
            "identifier": "734628-000",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.