DR. NIDAA KHAMOUSIA (M.D.) – Internal Medicine Physician, NPI 1184687014

DR. NIDAA KHAMOUSIA (M.D.) is a healthcare provider. based in Maumee, Ohio. specializing in INTERNAL MEDICINE, PREVENTIVE MEDICINE. They hold the professional credentials M.D.. They hold a License No. 35087356 (OH). The NPI Number for DR. NIDAA KHAMOUSIA (M.D.) is 1184687014

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
DR. NIDAA KHAMOUSIA (M.D.)
NPI
1184687014
Phone
(419) 866-6200
Address
6450 WHEATSTONE CT
Enumeration Date
11 April 2006
Last Update Date
9 May 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4198666200
Graduation Year
1991 (35 years ago)
PAC ID
9537175534
Group Practice PAC ID
5698673382
Professional Enrollment ID
I20060301000002
Address ID
OH435379402MA6450XCTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

7,199 INTERNAL MEDICINE in OH

Provider Addresses for DR. NIDAA KHAMOUSIA (M.D.)

  • 6450 WHEATSTONE CT

    MAUMEE, OH 435379402

    Phone: (419) 866-6200

    Fax: (419) 866-7170

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 68 Open Payments records for all available years, with a total value of $1,522.

Total Amount is formed as General ($1,522) + Research ($0) + Ownership ($0) = $1,522.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Novo Nordisk Inc ($194).

Total Amount

$1,522

General + Research + Ownership

Payments

68

Total payment records

General Amount

$1,522

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2006-03-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20060301000002IInternal MedicineOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes278141$0
99490Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month21429$0
99439Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month12323$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit103103$0
82962Blood glucose (sugar) test performed by hand-held instrument8833$0
View full utilization report →

Insurance plans in this area (ZIP 43537)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698673382View full group profile
NameSpecialtyState
U R O L O G YOH
U R O L O G YOH
Pulmonary Disease, Critical Care (Intensivists)OH
H E M A T O L O G Y/ O N C O L O G YOH
G A S T R O E N T E R O L O G YOH
O B S T E T R I C S/ G Y N E C O L O G YOH
Nurse PractitionerOH
Physician AssistantOH
Nurse PractitionerOH
Orthopedic SurgeryOH

Reviews

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Frequently asked questions

What is the registry number for DR. NIDAA KHAMOUSIA (M.D.)?
The registry entry for DR. NIDAA KHAMOUSIA (M.D.) shows NPI 1184687014.
Does the public listing show DR. NIDAA KHAMOUSIA (M.D.) as active?
DR. NIDAA KHAMOUSIA (M.D.)'s NPI record reflects an active status in NPPES.
What does the directory say DR. NIDAA KHAMOUSIA (M.D.) does?
Insurance directories may phrase it differently, but here DR. NIDAA KHAMOUSIA (M.D.) maps to Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to DR. NIDAA KHAMOUSIA (M.D.)?
DR. NIDAA KHAMOUSIA (M.D.) shows a connection to Maumee, Ohio in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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