NPIMap

Individual provider Active NPI

Khaldoon Shaheen, M.D.

  • Internal Medicine Physician
  • Cleveland, OH
National Provider Identifier
1699089631
Registry record updated Jul 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.098022 Issued in OH
Practice address
9500 Euclid Ave
Cleveland, OH 44195-3111
Phone
(216) 861-6200
NPI assigned
Aug 2, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.098022 OH Primary

Addresses

Primary practice location

9500 Euclid Ave
Cleveland, OH 44195-3111

Mailing address

4151 Westbrook Dr
Brooklyn, OH 44144-1234
Phone (216) 526-3832

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120517000295 OH Practitioner - Internal MedicinePractitioner - Nephrology 5496918054 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
CDC Physicians Organization, Inc.Group PAC ID 8426140187, 9 clinicians
Ohiohealth CorporationGroup PAC ID 6305758426, 2,295 clinicians

Practice addresses (Care Compare)

21245 Lorain Rd
Suite 206
Fairview Park, OH 44126-2140
Phone (440) 331-4294

335 Glessner Ave
Mansfield, OH 44903-2269
Phone (419) 520-2826

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Hospital CurrentSince Mar 23, 2013 Accepting new patients
Ohiohealth Corporation Internal Medicine CurrentSince Sep 1, 2021 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Apr 10, 2012 Accepting new patients
Fairview Hospital Internal Medicine CurrentSince Mar 23, 2013 Accepting new patients
Ohiohealth Corporation CurrentSince Sep 1, 2021 Accepting new patients
CDC Physicians Organization, Inc. CurrentSince Jul 6, 2016 Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Center for Dialysis Care Middleburg Heights LLC PastSince Jun 1, 2020 Accepting new patients
Medcentral Health System Past Accepting new patients
Center for Dialysis Care Westside Home Care LLC PastSince Jan 1, 2021 Accepting new patients

Locations

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

10654 Lorain Ave
Cleveland, OH 44111
Phone (216) 941-1044

393 E Town St
Ste 116
Columbus, OH 43215
Phone (614) 566-9108

Dept L3652
Columbus, OH 43260

21245 Lorain Rd
Ste 206
Fairview Park, OH 44126
Phone (440) 331-4294

3700 Kolbe Rd
Lorain, OH 44053
Phone (440) 331-9520

335 Glessner Ave
Mansfield, OH 44903
Phone (419) 522-0320

Interoperability endpoints

  • Direct secure messaging: kshaheen163861@direct.ccf.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341792000000",
    "number": "1699089631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4151 WESTBROOK DR",
            "city": "BROOKLYN",
            "state": "OH",
            "postal_code": "441441234",
            "telephone_number": "216-526-3832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9500 EUCLID AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441953111",
            "telephone_number": "216-861-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "KHALDOON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-02",
        "last_updated": "2012-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.098022",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.