Individual provider Active NPI

Adel M Shaheen, MD

  • Cardiovascular Disease Physician
  • Lima, OH
National Provider Identifier
1801969985
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35057167 Issued in OH
Practice address
770 W High St Ste 210
Lima, OH 45801-5902
Phone
(419) 222-0189
Fax
(419) 225-8691
NPI assigned
Nov 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35057167 OH Primary

Addresses

Primary practice location

770 W High St Ste 210
Lima, OH 45801-5902

Mailing address

PO Box 1298
770 W High St Suite 370
Lima, OH 45802
Phone (419) 222-0189

Other identifiers 1

IdentifierTypeStateIssuer
0826226MedicaidOH

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040127000889 OH Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9638071285 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35057167OHMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Lima Specialty Care LLC Cardiovascular Disease CurrentSince Sep 1, 2020 Accepting new patients
Lima Memorial Professional Corporation Past Accepting new patients
Cardiology Consultants Cardiovascular Disease Past Accepting new patients
Dr. Ranga Inc. Cardiovascular Disease Past Accepting new patients

Locations

800 W Main St
Coldwater, OH 45828
Phone (419) 678-2341

730 W Market St
#2K
Lima, OH 45801
Phone (419) 996-5852

770 W High St
Lima, OH 45801
Phone (419) 996-5240

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

770 W High St
Ste 210
Lima, OH 45801
Phone (419) 222-3828

770 W High St
Ste 370
Lima, OH 45801
Phone (419) 222-0189

730 W Market St
Ste 2K
Lima, OH 45801
Phone (419) 996-5852

967 Bellefontaine Ave
Lima, OH 45804
Phone (419) 224-1330

200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1801969985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1298",
            "address_2": "770 W HIGH ST SUITE 370",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "45802",
            "telephone_number": "419-222-0189",
            "fax_number": "419-225-8691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 W HIGH ST STE 210",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458015902",
            "telephone_number": "419-222-0189",
            "fax_number": "419-225-8691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHAHEEN",
        "first_name": "ADEL",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "OH",
            "license": "35057167",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0826226",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lima, OH

Sources for this page

Verify at the official NPI Registry.