Active NPI 1184687014 Individual Practitioner Female Practitioner

Dr. Nidaa Khamousia , MD

Internal Medicine • Maumee, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Nidaa Khamousia, MD is a certified Internal Medicine practicing in Maumee, OH. With approximately 35 years of clinical experience since completing medical education in 1991, Dr. Khamousia delivers high-quality medical care to the local community at 6450 WHEATSTONE CT.

Dr. Khamousia is affiliated with Toledo Clinic Incorporated and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, chronic care management services, first, chronic care management services for two or more chronic conditions, additional. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

6450 Wheatstone Ct

Maumee, OH 435379402

Telephone 4198666200

Fax 4198667170

Associated Practice Facility / Clinic

🏢 Fallen Timbers Internal Medicine, Llc Facility NPI 1205986247

Medicare Profile & Education

Medical School

Other

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Maumee, OH

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs -0.2 yrs vs City Avg

City Avg: 35.2 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

10 Specialists

Practicing in Maumee, OH (5516 Statewide)

Telehealth Adoption Rate

10.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

52.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Khamousia (35 Years) 35 Yrs

Maumee Specialty Average (35.2 Years) 35.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	257	139	$208.00	$120.21
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	159	25	$124.00	$59.16
99439 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	104	19	$72.30	$44.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	91	91	$224.00	$121.92
99213 Established patient office or other outpatient visit, typically 15 minutes	77	55	$141.00	$85.59
82962 Blood glucose (sugar) test performed by hand-held instrument	66	34	$6.00	$3.13
83036 Hemoglobin A1C level	65	33	$24.00	$9.28
99497 Advance care planning, first 30 minutes	50	50	$167.00	$77.83
G0008 Administration of influenza virus vaccine	41	41	$60.00	$30.39
93000 Routine ekg using at least 12 leads including interpretation and report	39	39	$33.00	$13.35
90653 Vaccine for influenza for injection into muscle	35	35	$383.00	$81.82
81003 Automated urinalysis test	25	23	$6.00	$2.20
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	24	21	$38.00	$21.44
93880 Ultrasound of both sides of head and neck blood flow	16	16	$361.00	$173.32
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	13	13	$529.00	$288.55
G0009 Administration of pneumococcal vaccine	13	13	$48.00	$30.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	278	141	$208.00	$121.18
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	214	29	$124.00	$59.58
99439 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	123	23	$73.00	$44.84
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	103	103	$224.00	$122.52
82962 Blood glucose (sugar) test performed by hand-held instrument	88	33	$6.00	$3.18
99213 Established patient office or other outpatient visit, typically 15 minutes	85	66	$141.00	$86.05
83036 Hemoglobin A1C level	83	33	$23.87	$9.42
93000 Routine ekg using at least 12 leads including interpretation and report	67	63	$33.00	$13.72
G0008 Administration of influenza virus vaccine	51	51	$35.00	$28.78
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	49	49	$122.00	$74.04
81003 Automated urinalysis test	48	34	$6.00	$2.20
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	31	23	$38.00	$21.56
G0444 Annual depression screening, 5 to 15 minutes	17	17	$35.00	$17.24
93880 Ultrasound of both sides of head and neck blood flow	14	14	$361.00	$177.19
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	12	12	$332.00	$157.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	238	125	$208.00	$121.56
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	195	25	$110.38	$61.24
99439 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	101	19	$73.00	$46.16
99213 Established patient office or other outpatient visit, typically 15 minutes	96	70	$141.00	$87.81
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	90	90	$224.00	$125.92
83036 Hemoglobin A1C level	75	37	$23.52	$9.08
82962 Blood glucose (sugar) test performed by hand-held instrument	74	37	$6.00	$3.06
93000 Routine ekg using at least 12 leads including interpretation and report	65	60	$33.00	$13.56
81003 Automated urinalysis test	42	39	$6.00	$2.22
G0008 Administration of influenza virus vaccine	42	42	$35.00	$27.95
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	35	35	$122.00	$70.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	26	15	$38.00	$21.89
93880 Ultrasound of both sides of head and neck blood flow	16	16	$361.00	$183.08
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	13	13	$314.31	$161.57
94010 Test to measure expiratory airflow and volume	12	12	$68.00	$25.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	306	146	$208.00	$124.94
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	224	37	$65.00	$39.70
99439 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	114	28	$73.00	$36.30
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	103	103	$224.00	$127.41
82962 Blood glucose (sugar) test performed by hand-held instrument	98	42	$6.00	$3.21
83036 Hemoglobin A1C level	96	42	$23.52	$9.51
99213 Established patient office or other outpatient visit, typically 15 minutes	91	67	$141.00	$89.00
93000 Routine ekg using at least 12 leads including interpretation and report	83	74	$33.00	$14.34
81003 Automated urinalysis test	52	44	$6.00	$2.25
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	45	17	$38.00	$21.64
G0008 Administration of influenza virus vaccine	43	42	$35.00	$15.81
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	38	38	$122.00	$64.68
94010 Test to measure expiratory airflow and volume	14	13	$68.00	$28.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	220	115	$208.00	$106.14
99490 Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month	151	43	$65.00	$41.30
99213 Established patient office or other outpatient visit, typically 15 minutes	112	85	$141.00	$72.74
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	99	$224.00	$113.65
G2058 Chronic care management services, each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional, per calendar month (list separately in addition to code for primary procedure). (do not report g2058 fo	90	29	$73.00	$36.96
82962 Blood glucose (sugar) test performed by hand-held instrument	75	40	$6.00	$3.26
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	71	29	$38.00	$22.02
83036 Hemoglobin A1C level	68	37	$23.58	$9.65
93000 Routine ekg using at least 12 leads including interpretation and report	53	49	$33.00	$16.61
G0008 Administration of influenza virus vaccine	52	52	$35.00	$16.06
81003 Automated urinalysis test	37	32	$6.00	$2.23
90662 Influenza vaccine split virus, preservative free	32	32	$98.00	$58.69
G0009 Administration of pneumococcal vaccine	20	19	$48.00	$15.99
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$180.00	$119.08
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	15	15	$122.00	$61.00

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	250	111	$208.00	$105.68
99213 Established patient office or other outpatient visit, typically 15 minutes	98	65	$141.00	$72.03
82962 Blood glucose (sugar) test performed by hand-held instrument	89	37	$6.00	$3.21
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	89	89	$224.00	$112.81
83036 Hemoglobin A1C level	82	37	$23.52	$10.57
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	69	28	$38.00	$21.67
93000 Routine ekg using at least 12 leads including interpretation and report	59	54	$33.00	$16.36
81003 Automated urinalysis test	53	42	$6.00	$2.44
G0008 Administration of influenza virus vaccine	49	49	$35.00	$15.75
90662 Influenza vaccine split virus, preservative free	44	44	$98.00	$54.77
G0009 Administration of pneumococcal vaccine	34	34	$31.94	$15.75
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	20	20	$180.00	$108.76
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	19	19	$431.00	$197.26
90670 Pneumococcal vaccine for injection into muscle	14	14	$362.00	$210.31
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$323.00	$162.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	226	108	$208.00	$103.70
99213 Established patient office or other outpatient visit, typically 15 minutes	91	70	$140.45	$69.60
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	80	80	$224.00	$110.39
82962 Blood glucose (sugar) test performed by hand-held instrument	77	38	$6.00	$3.21
83036 Hemoglobin A1C level	76	36	$23.52	$11.75
G0008 Administration of influenza virus vaccine	69	69	$35.00	$19.30
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	67	33	$38.00	$20.41
93000 Routine ekg using at least 12 leads including interpretation and report	62	55	$33.00	$16.01
90662 Influenza vaccine split virus, preservative free	61	61	$98.00	$52.30
81003 Automated urinalysis test	58	41	$6.00	$2.67
99497 Advance care planning, first 30 minutes	45	45	$167.00	$82.13
G0009 Administration of pneumococcal vaccine	32	32	$27.00	$19.29
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$180.00	$100.56
90670 Pneumococcal vaccine for injection into muscle	12	12	$362.00	$196.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	102	$207.31	$98.96
82962 Blood glucose (sugar) test performed by hand-held instrument	71	31	$6.00	$3.15
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	71	71	$224.00	$107.20
99213 Established patient office or other outpatient visit, typically 15 minutes	70	53	$141.00	$66.64
G0008 Administration of influenza virus vaccine	62	62	$35.00	$23.76
83036 Hemoglobin A1C level	62	29	$23.52	$12.88
81003 Automated urinalysis test	59	50	$6.00	$2.90
G0009 Administration of pneumococcal vaccine	49	49	$27.00	$23.76
99497 Advance care planning, first 30 minutes	43	43	$167.00	$76.97
90662 Influenza vaccine split virus, preservative free	43	43	$98.00	$48.05
90670 Pneumococcal vaccine for injection into muscle	40	40	$362.00	$183.68
93000 Routine ekg using at least 12 leads including interpretation and report	39	39	$33.00	$15.69
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	38	11	$38.00	$18.51
94010 Test to measure expiratory airflow and volume	17	14	$68.00	$32.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$209.00	$100.88
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$332.00	$158.80
Q2039 Influenza virus vaccine, not otherwise specified	11	11	$32.00	$22.33
G0101 Cervical or vaginal cancer screening; pelvic and clinical breast examination	11	11	$74.00	$35.53
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$323.00	$148.01

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License OH 35087356

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

2633396 (OH)

Hospital & Practice Group Affiliations

Toledo Clinic Incorporated

6450 Wheatstone Ct, Maumee, OH 435379402

Phone: 4198666200

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Cassandra Kaiser-Barrow , APRN, FNP-C

Nurse Practitioner

NPI 1043881683

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Dr. Nizar Daboul , MD

Internal Medicine

NPI 1770547259

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active May 09, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 09, 2016

Registered at 6450 WHEATSTONE CT, MAUMEE, OH 435379402 (Tel: 4198666200)

📍

Updated Business Mailing Address May 09, 2016

Registered at 6450 WHEATSTONE CT, MAUMEE, OH 435379402 (Tel: 4198666200)

👤

Provider Name / Credentials Updated May 09, 2016

Recorded as NIDAA KHAMOUSIA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 09, 2016

Internal Medicine (License #35087356 in OH)

🟢

Initial NPI Registration & Enumeration April 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184687014

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 11, 2006

Last Update: May 09, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

6450 Wheatstone Ct

Maumee, OH 435379402

Phone: 4198666200

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.