KOROUSH KHALIGHI M.D.
NPI 1356345193
Internal Medicine - Clinical Cardiac Electrophysiology in Dayton, OH

Q: What is Koroush Khalighi's NPI number?

The NPI number for Koroush Khalighi is 1356345193. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Q: What is Koroush Khalighi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Q: When was this NPI record last updated?

The NPPES record for Koroush Khalighi was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 09, 2005PECOS EnrolledAccepts Medicare Assignment

122 WYOMING STREET, DAYTON, OH 45409(937) 223-4461 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2024, Mar 8, 2024, Feb 18, 2020 and 3 more (6 updates tracked since 2016).

On this page

About Koroush Khalighi M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOROUSH KHALIGHI M.D. (NPI 1356345193) is an individual clinical cardiac electrophysiology provider in Dayton, Ohio, licensed in Pennsylvania (MD041360-L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and maintains a secondary practice location in Easton.

NPPES Registry Identity

NPI1356345193

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameKOROUSH KHALIGHICredential: M.D.

Location Address122 WYOMING STREETDayton, OH 45409-2731

Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699

Phone(937) 223-4461

Sole ProprietorNo

Medical School CMSOtherGraduated 1986

Enumeration DateJune 9, 2005

Last NPPES UpdateApril 16, 20256 updates tracked since enumeration

NPPES CertifiedApril 16, 2025

✔ NPI 1356345193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians

Taxonomy Code207RC0001X

Licenses✔ Licensed in PA · MD041360-L✔ Licensed in NJ · 25MA068440✔ Licensed in WI · 102020

Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 25MA056515 (NJ), MD066096-L (PA)

Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License MD041360-L (PA), 25MA056515 (NJ)

122 WYOMING STREET, Dayton, OH 45409

Open in Google Maps ↗

Secondary Practice Location 1

Location 11768 Zinfandel Ct WEaston, PA 18045-5441 · Phone (610) 442-2082 · Fax (610) 438-2419

Other Identifiers 10

Other2026901PA · Capital Blue Cross

Other674485PA · Keystone Capital

Other9051056PA · Cigna Pa

OtherP718311PA · Oxford

Other1459106PA · Highmark Pa

Other563332PA · Aetna Us Healthcare

Medicaid20010114PA

Other674485NJ · Highmark Nj

Medicaid1580148PA

Medicaid4643704NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Koroush Khalighi M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537352372

PECOS Enrollment IDI20101025000746, I20250430000517

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Koroush Khalighi reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Premier Health Specialists Inc

Same address

Interventional Cardiology

122 WYOMING ST
Dayton, OH 45409

Reassigned Medicare billing, Ohio enrollment
812 clinicians in this Medicare group

NPI 1477887917 (937) 223-4461

Dlp Conemaugh Physician Practices LLC

265 mi

Family Medicine

200 W MAIN ST
Ligonier, PA 15658

Reassigned Medicare billing, Pennsylvania enrollment
771 clinicians in this Medicare group

NPI 1588070551 (724) 238-9581

Dlp Conemaugh Meyersdale Medical Center LLC

274 mi

Rural Health

7160 MASON DIXON HIGHWAY
Meyersdale, PA 15552

Reassigned Medicare billing, Pennsylvania enrollment
56 clinicians in this Medicare group

NPI 1992970891 (814) 634-5935

Dlp Conemaugh Memorial Medical Center LLC

282 mi

Family Medicine

1086 FRANKLIN ST
Johnstown, PA 15905

Reassigned Medicare billing, Pennsylvania enrollment
103 clinicians in this Medicare group

NPI 1669873881 (814) 534-9106

Dlp Conemaugh Miners Medical Center LLC

297 mi

Critical Access

290 HAIDA AVENUE
Hastings, PA 16646

Reassigned Medicare billing, Pennsylvania enrollment
56 clinicians in this Medicare group

NPI 1184620486 (814) 247-3100

Prohealth Medical Group Inc

299 mi

Internal Medicine

S69W15636 JANESVILLE RD
Muskego, WI 53150

Reassigned Medicare billing, Wisconsin enrollment
528 clinicians in this Medicare group

NPI 1114068970 (262) 928-7000

Susquehanna Physician Services

391 mi

Cardiovascular Disease

740 HIGH ST, SUITE 2001
Williamsport, PA 17701

Reassigned Medicare billing, Pennsylvania enrollment
91 clinicians in this Medicare group

NPI 1861431116 (570) 321-2800

Lehigh Valley Physician Group

417 mi

Family Medicine

121 N TULPEHOCKEN ST
Pine Grove, PA 17963

Reassigned Medicare billing, Pennsylvania enrollment
2,895 clinicians in this Medicare group

NPI 1437911807 (570) 345-2345

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 25

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

4,754 services3,462 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

1,659 services692 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

1,338 services537 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

788 services360 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

352 services273 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

348 services170 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

319 services97 patients

Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days 93297

This service involves remotely monitoring your heart and blood vessel implant system for up to 30 days. Using advanced technology, healthcare professionals can track the device's performance and your health status, ensuring the system is working optimally for your needs.

276 services124 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

157 services125 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

77 services14 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

63 services62 patients

Programming of multiple lead implantable defibrillator system 93284

Programming of a multiple lead implantable defibrillator system involves adjusting settings on your implanted device to help control irregular heart rhythms. The process is non-invasive and helps ensure optimal device performance for maintaining heart health.

51 services40 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

44 services42 patients

Programming of dual lead implantable defibrillator system 93283

Programming of a dual lead implantable defibrillator system involves adjusting settings on a device implanted in your chest. This device monitors your heart rhythm and delivers electrical pulses to correct irregular heartbeats, helping maintain a healthy heart rhythm.

43 services34 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

36 services24 patients

Programming of single lead pacemaker system 93279

Programming of a single lead pacemaker system involves adjusting the pacemaker's settings to suit your heart's unique needs. This is done using a special device that communicates with the pacemaker, ensuring it helps your heart beat at an optimal rate.

31 services20 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

31 services31 patients

Programming of single lead implantable defibrillator system 93282

Programming of a single lead implantable defibrillator system involves setting up and adjusting a device implanted in your body. This device helps regulate your heartbeat. It can detect irregular heart rhythms and provide corrective electric shocks to restore a normal heartbeat.

25 services23 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

21 services21 patients

Telephone medical discussion with physician, 21-30 minutes 99443

This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.

20 services17 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

19 services19 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

17 services17 patients

Programming of multiple lead pacemaker system 93281

Programming of a multiple lead pacemaker system involves adjusting settings on your pacemaker device to optimize its function. This device uses electrical impulses to regulate your heart's rhythm. The procedure ensures it's working effectively for your specific needs.

15 services14 patients

Evaluation of implantable heart and blood vessel monitoring system 93290

An evaluation of an implantable heart and blood vessel monitoring system involves checking the device that's placed inside your body to monitor your heart and blood vessels' health. It helps doctors track your heart rate, rhythm, and blood flow, aiding in prompt, accurate treatment.

15 services14 patients

Heart rhythm recording of continous external ekg over 8-15 days 93246

A heart rhythm recording is a non-invasive procedure where a small device, attached externally, monitors your heart's electrical activity for 8-15 days. It helps detect irregular heart rhythms, assess heart rate, and guide treatment decisions. It's safe, painless, and can be done during normal daily activities.

12 services12 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390133

Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County

Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390201

Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County

Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390338

Location330 Main StreetDickson City, PA 18519 · Lackawanna County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAGGER HAMEED MAWRI M.D.

Internal Medicine (Interventional Cardiology)

122 WYOMING STREET
DAYTON, OH 45409

Montgomery County (937) 223-4461

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koroush Khalighi's NPI number?

The NPI number for Koroush Khalighi is 1356345193. It was assigned to this individual provider in the NPPES registry on June 9, 2005.

Where is Koroush Khalighi located?

Koroush Khalighi practices at 122 Wyoming Street, Dayton, OH 45409. The listed phone number is (937) 223-4461.

What is Koroush Khalighi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Koroush Khalighi enrolled in Medicare?

Yes. Koroush Khalighi is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Koroush Khalighi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Koroush Khalighi reassigns Medicare benefits to 8 organizations: Premier Health Specialists Inc (Dayton, OH), Dlp Conemaugh Physician Practices LLC (Ligonier, PA), Dlp Conemaugh Meyersdale Medical Center LLC (Meyersdale, PA), Dlp Conemaugh Memorial Medical Center LLC (Johnstown, PA), Dlp Conemaugh Miners Medical Center LLC (Hastings, PA) and 3 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Koroush Khalighi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Koroush Khalighi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, CareSource and MedMutual list Koroush Khalighi as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Koroush Khalighi affiliated with any hospitals?

According to CMS data, Koroush Khalighi is affiliated with St Luke's Warren Hospital, St Luke's Hospital Bethlehem, Lehigh Valley Hospital, Lehigh Valley Hospital - Pocono and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Koroush Khalighi was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.