Individual provider Active NPI

Omar Ali Khan, M.D

  • Urology Physician
  • Toledo, OH
National Provider Identifier
1972898856
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35.131247 Issued in OH
Practice address
3355 Meijer Dr
Toledo, OH 43617-3102
Phone
(419) 725-6850
Fax
(419) 724-9696
NPI assigned
Jun 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35.131247 OH Primary

Addresses

Primary practice location

3355 Meijer Dr
Toledo, OH 43617-3102

Mailing address

4235 Secor Rd
Toledo, OH 43623-4299
Phone (192) 144-2144

Other practice location 1

4235 Secor Rd
Toledo, OH 43623-4299
Phone (419) 725-6850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170619001357 OH Practitioner - Urology 7517261308 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Ohio, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JTDM Family Practice LLCGroup PAC ID 2163415837, 48 clinicians
Mercy Medical Partners Northern Region Specialty Care LLCGroup PAC ID 9739585480, 86 clinicians
Mary Rutan HospitalGroup PAC ID 9032013792, 90 clinicians
Toledo Clinic IncorporatedGroup PAC ID 5698673382, 204 clinicians
Mercy Health Physicians Lima Specialty Care LLCGroup PAC ID 7012332364, 254 clinicians
Wilson Care, LLCGroup PAC ID 4385549666, 58 clinicians

Practice addresses (Care Compare)

1140 S Knoxville Ave
Suite C2
Saint Marys, OH 45885-2609
Phone (419) 394-0326

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

2160 Ewing Crawfis Cir
Bellefontaine, OH 43311-9042
Phone (937) 593-0070

3355 Meijer Dr
Toledo, OH 43617-3102
Phone (419) 725-6850

4235 Secor Rd
Toldeo, OH 43623-4231
Phone (419) 874-3246

770 W High St
Suite 350
Lima, OH 45801-5901
Phone (419) 228-8950

915 Michigan St
Suite 100
Sidney, OH 45365-2401
Phone 93749459880000

950 W Wooster St
Bowling Green, OH 43402-2603
Phone (419) 373-7696

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection71
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.131247OHMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Toledo Clinic Incorporated Current Accepting new patients
Mercy Health Physicians - North, LLC CurrentSince Jul 19, 2017 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC Urology CurrentSince Sep 1, 2020 Accepting new patients
Toledo Clinic Incorporated CurrentSince Jul 1, 2017 Accepting new patients
Wilson Care, LLC CurrentSince Jan 1, 2024 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC Urology CurrentSince Sep 1, 2021 Accepting new patients
Toledo Clinic Incorporated CurrentSince Jul 1, 2017 Accepting new patients
Mercy Medical Partners Northern Region Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mary Rutan Hospital Urology CurrentSince May 1, 2025 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jul 19, 2017 Accepting new patients
Paulding County Hospital Physician Services CurrentSince Mar 17, 2019 Accepting new patients
Mary Rutan Hospital CurrentSince May 1, 2025 Accepting new patients
Mary Rutan Hospital Current Accepting new patients
Henry County Hospital Inc CurrentSince Sep 20, 2017 Accepting new patients
Mercy Health Physicians North Specialty Care LLC Urology CurrentSince Sep 1, 2021 Accepting new patients
Mercy Medical Partners Northern Region LLC CurrentSince Jul 19, 2017 Accepting new patients
JTDM Family Practice LLC Urology CurrentSince Jan 3, 2024 Accepting new patients
Mercy Health Physicians-North LLC CurrentSince Jul 19, 2017 Accepting new patients
Joint Township District Memorial Hospital Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Toledo Clinic Incorporated Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Mary Rutan Hospital Past Accepting new patients

Locations (25 of 34)

205 E Palmer Rd
Bellefontaine, OH 43311
Phone (937) 592-4015

2160 Ewing Crawfis Cir
Bellefontaine, OH 43311
Phone (937) 592-9221

970 W Wooster St
Rm 224
Bowling Green, OH 43402
Phone (419) 352-5500

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

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

770 W High St
Ste 350
Lima, OH 45801
Phone (419) 228-8950

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

770 W High St
Lima, OH 45801
Phone (419) 996-5240

5757 Monclova Rd
Ste 2
Maumee, OH 43537
Phone (419) 479-5327

5757 Monclova Rd
Ste 4
Maumee, OH 43537
Phone (419) 448-7959

1200 Medical Center Pkwy
Maumee, OH 43537
Phone (419) 794-7720

4463 State Route 66
Ste A
Minster, OH 45865
Phone (419) 628-3821

1600 E Riverview Ave
Napoleon, OH 43545
Phone (260) 344-3045

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

2600 Navarre Ave
Oregon, OH 43616
Phone (419) 696-7200

1050 Isaac Streets Dr
Ste 126
Oregon, OH 43616
Phone (419) 696-7493

1032 W Wayne St
Paulding, OH 45879
Phone (419) 399-1104

1035 W Wayne St
Paulding, OH 45879
Phone (419) 399-4080

615 Fulton St
Ste 200
Port Clinton, OH 43452
Phone (419) 725-6850

120 W Main St
Russells Point, OH 43348
Phone (937) 843-2048

8200 State Route 366
Ste 8
Russells Pt, OH 43348
Phone (937) 292-5063

1040 Hager St
Saint Marys, OH 45885
Phone (419) 394-9959

1140 S Knoxville Ave
Ste A
Saint Marys, OH 45885
Phone (419) 394-9959

1140 S Knoxville Ave
Ste C2
Saint Marys, OH 45885
Phone (419) 394-0326

915 Michigan St
Ste 100
Sidney, OH 45365
Phone (937) 419-8049

Interoperability endpoints

  • Direct secure messaging: okhan43546@direct.bsmhealth.org
  • Direct secure messaging: okhan1544956@direct.osumc.edu
  • FHIR API: https://api.platform.athenahealth.com/107/brand/1/csg/1/fhir/r4
  • Direct secure messaging: omarkhan@glhs.allscriptsdirect.net
  • Direct secure messaging: omar.khan@toledoclinic.eclinicaldirectplus.com

Organizations & group practices 24

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 24

Hospital & facility affiliations 6

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": "1308355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1972898856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4235 SECOR RD",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436234299",
            "telephone_number": "192-144-2144",
            "fax_number": "419-479-5593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3355 MEIJER DR",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436173102",
            "telephone_number": "419-725-6850",
            "fax_number": "419-724-9696"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4235 Secor Rd",
            "address_purpose": "LOCATION",
            "city": "Toledo",
            "state": "OH",
            "postal_code": "436234299",
            "country_code": "US",
            "telephone_number": "419-725-6850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KHAN",
        "first_name": "OMAR",
        "middle_name": "ALI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-18",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "OH",
            "license": "35.131247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

Verify at the official NPI Registry.