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KHALIDA DURRANI MD
NPI 1750386173
Family Medicine in Toledo, OH

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment
4646 NANTUCKETT DR STE C, TOLEDO, OH 43623(419) 720-7676(419) 720-7678 Get Directions Write a Review

NPPES record last updated: March 18, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Khalida Durrani Md NPPES

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

KHALIDA DURRANI MD (NPI 1750386173) is an individual family medicine provider in Toledo, Ohio, licensed in Ohio (35078646) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS, is affiliated with Mercy St Vincent Medical Center, and maintains a secondary practice location in Toledo.

NPPES Registry Identity

NPI1750386173
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKHALIDA DURRANICredential: MD
Location Address4646 NANTUCKETT DR STE CToledo, OH 43623-3194
Mailing Address4235 Secor RdToledo, OH 43623 · (419) 720-7676 · Fax (419) 720-7678
Phone(419) 720-7676
Fax(419) 720-7678
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJune 14, 2005
Last NPPES UpdateMarch 18, 2024
NPPES CertifiedMarch 18, 2024
✔ NPI 1750386173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in OH · 35078646
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X · License 35078646 (OH)
4646 NANTUCKETT DR STE C, Toledo, OH 43623
Open in Google Maps ↗

Secondary Practice Location 1

Location 12658 W Laskey Rd Ste 101Toledo, OH 43613-3288 · Phone (419) 720-7676

Other Identifiers 1

Medicaid2218442OH

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Khalida Durrani Md 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 ID6709976509
PECOS Enrollment IDI20071217000743
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.

Areas of Expertise CMS Part B claims 8

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
248 services30 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
142 services61 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
140 services23 patients
Established patient office or other outpatient visit, 20-29 minutes 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services35 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
35 services35 patients
Influenza vaccine, quadrivalent, 0.5 ml dosage 90688
The Influenza vaccine, quadrivalent, 0.5 ml dosage, is a flu shot to protect against four strains of the flu virus. It's given as a small injection, typically in the arm, to help your body build immunity and fight off potential flu infections.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Mercy St Vincent Medical Center

Acute Care Hospitals · Toledo, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360112
Location2213 Cherry StreetToledo, OH 43608 · Lucas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43623 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers20 claims34 services$4.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Khalida Durrani's NPI number?

The NPI number for Khalida Durrani is 1750386173. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Khalida Durrani located?

Khalida Durrani practices at 4646 Nantuckett Dr Ste C, Toledo, OH 43623. The listed phone number is (419) 720-7676.

What is Khalida Durrani's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Khalida Durrani enrolled in Medicare?

Yes. Khalida Durrani 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.

What insurance does Khalida Durrani accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 4 other insurers list Khalida Durrani 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 Khalida Durrani affiliated with any hospitals?

According to CMS data, Khalida Durrani is affiliated with Mercy St Vincent Medical Center.

When was this NPI record last updated?

The NPPES record for Khalida Durrani was last updated on March 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.