Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Omar Ali Khan, MD

Individual provider Urology Physician · NPI 1972898856

Dr. Omar Ali Khan, MD is an Urology in Toledo, Ohio. Graduated from Medical College of Ohio in 2011, 15 years ago. Practices with Jtdm Family Practice LLC, a 48-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
15
Trained at
Medical College of Ohio
Licensed in
OH
In the registry since
2011
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3355 Meijer Dr
Toledo, OH 43617-3102
Phone: (419) 725-6850
Fax: (419) 724-9696
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 35.131247 (OH)

Record details

NPI number1972898856
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 18, 2011
Last updated in NPPESJuly 24, 2026
Certification dateJuly 24, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolMEDICAL COLLEGE OF OHIO
Graduated 2011 (15 years in practice)
Group practice Jtdm Family Practice Llc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

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