NPIMap

Individual provider Active NPI

Kholoud K. Amrou, CNP

  • Vascular Surgery Physician
  • Defiance, OH
National Provider Identifier
1831724897
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
APRN.CNP.025874 Issued in OH
Practice address
1400 E 2ND St
Defiance, OH 43512-9905
Phone
(419) 783-3251
Fax
(419) 783-2799
NPI assigned
Mar 10, 2020
Last updated
May 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP025874 OH
Vascular Surgery Physician 2086S0129X APRN.CNP.025874 OH Primary

Addresses

Primary practice location

1400 E 2ND St
Defiance, OH 43512-9905

Mailing address

3203 Pepper Ridge Dr
Maumee, OH 43537-9697
Phone (419) 704-1923

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200422003241 OH Practitioner - Nurse Practitioner 4486084092 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Partners Northern Region Specialty Care LLCGroup PAC ID 9739585480, 86 clinicians
Toledo Cardiology Consultants IncGroup PAC ID 4082609656, shared by 2 NPIs, 17 clinicians

Practice addresses (Care Compare)

1400 E 2ND St
Defiance, OH 43512-2440
Phone (419) 784-1414

2409 Cherry St
Suite 100
Toledo, OH 43608-2670
Phone (419) 251-3700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP025874OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Oct 17, 2022 Accepting new patients
Toledo Cardiology Consultants Inc Single Specialty CurrentSince Dec 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Single Specialty CurrentSince Sep 1, 2021 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC Single Specialty CurrentSince Oct 17, 2022 Accepting new patients
Toledo Cardiology Consultants Inc CurrentSince Dec 1, 2021 Accepting new patients

Locations

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

959 Illinois Ave
Ste C
Maumee, OH 43537
Phone (419) 251-3711

1600 E Riverview Ave
Ste 101
Napoleon, OH 43545
Phone (419) 592-8774

2200 Jefferson Ave
Fl 5
Toledo, OH 43604
Phone (419) 251-9826

2222 Cherry St
Ste 1250
Toledo, OH 43608
Phone (419) 251-3180

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

2409 Cherry St
Ste 100
Toledo, OH 43608
Phone (419) 251-3700

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

Interoperability endpoints

  • Direct secure messaging: kamrou101336@direct.bsmhealth.org

Organizations & group practices 6

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 4

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": "1583798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715212800000",
    "number": "1831724897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3203 PEPPER RIDGE DR",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379697",
            "telephone_number": "419-704-1923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 E 2ND ST",
            "city": "DEFIANCE",
            "state": "OH",
            "postal_code": "435129905",
            "telephone_number": "419-783-3251",
            "fax_number": "419-783-2799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMROU",
        "first_name": "KHOLOUD",
        "middle_name": "K.",
        "credential": "CNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-10",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP025874",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "APRN.CNP.025874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Defiance, OH

Sources for this page

Verify at the official NPI Registry.