DR. KALEEL JAMES SHAHEEN (O.D.) – Optometrist, NPI 1215932652

DR. KALEEL JAMES SHAHEEN (O.D.) is a healthcare provider. based in Canton, Ohio. specializing in OPTOMETRY. They hold the professional credentials O.D.. They hold a License No. 3044T647 (OH). The NPI Number for DR. KALEEL JAMES SHAHEEN (O.D.) is 1215932652

Main info

Male
54 Years Of Experience
Accepts Medicare Assignment
Name
DR. KALEEL JAMES SHAHEEN (O.D.)
NPI
1215932652
Phone
(330) 478-8996
Address
4555 HILLS AND DALES RD NW
Enumeration Date
14 June 2005
Deactivation Date
17 March 2006
Reactivation Date
23 March 2006
Last Update Date
4 April 2008

Doctor Profile

Medical School Name
OHIO STATE UNIVERSITY - COLLEGE OF OPTOMETRY
Secondary Phone
3304788996
Graduation Year
1972 (54 years ago)
PAC ID
5698808061
Group Practice PAC ID
6709919178
Professional Enrollment ID
I20100805000557
Address ID
OH447081507CA4555XNWXX600
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,618 OPTOMETRY in OH

Provider Addresses for DR. KALEEL JAMES SHAHEEN (O.D.)

  • 4555 HILLS AND DALES RD NW

    CANTON, OH 447081507

    Phone: (330) 478-8996

    Fax: (330) 478-9987

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $1,555.

Total Amount is formed as General ($1,555) + Research ($0) + Ownership ($0) = $1,555.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: CooperVision Inc. ($581).

Total Amount

$1,555

General + Research + Ownership

Payments

22

Total payment records

General Amount

$1,555

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100805000557IOptometryOHTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
92014Established patient complete exam of visual system3333$0
View full utilization report →

Insurance plans in this area (ZIP 44708)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6709919178View full group profile
NameSpecialtyState
O P T O M E T R YOH
O P T O M E T R YOH

Reviews

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Frequently asked questions

What is the standard ID for DR. KALEEL JAMES SHAHEEN (O.D.) in the U.S.?
In the U.S., DR. KALEEL JAMES SHAHEEN (O.D.) is identified by NPI 1215932652.
Is DR. KALEEL JAMES SHAHEEN (O.D.) currently accepting referrals based on NPI status?
Registry metadata lists DR. KALEEL JAMES SHAHEEN (O.D.) as active.
How should patients interpret DR. KALEEL JAMES SHAHEEN (O.D.)'s specialty?
The extract shows Optometrist for DR. KALEEL JAMES SHAHEEN (O.D.). Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KALEEL JAMES SHAHEEN (O.D.)?
DR. KALEEL JAMES SHAHEEN (O.D.) is associated with Canton, Ohio in the same public data insurers reference.
Why is information missing for DR. KALEEL JAMES SHAHEEN (O.D.)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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