DR. SHEILA HEINLE MD
NPI 1003918244
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since September 01, 2006PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
6624 FANNIN, #2480, HOUSTON, TX 77030(713) 529-5530(713) 383-0051 Get Directions Write a Review

NPPES record last updated: January 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Sheila Heinle Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHEILA HEINLE MD (NPI 1003918244) is an individual cardiovascular disease provider in Houston, Texas, licensed in Texas (K1470) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Chi St Luke's Health Baylor College Of Medicine Me, and is a graduate of University Of Pittsburgh School Of Medicine (1989).

NPPES Registry Identity

NPI1003918244
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. SHEILA HEINLECredential: MD
Location Address6624 FANNIN, #2480Houston, TX 77030-2309
Mailing Address6624 Fannin, #2480Houston, TX 77030-2309 · (713) 529-5530 · Fax (713) 383-0051
Fax(713) 383-0051
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1989
Enumeration DateSeptember 1, 2006
Last NPPES UpdateJanuary 20, 2022
NPPES CertifiedJanuary 20, 2022
NPI 1003918244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · K1470
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal Medicine · Clinical Cardiac ElectrophysiologyTaxonomy 207RC0001X · License K1470 (TX)
6624 FANNIN, Houston, TX 77030

Other Identifiers 1

Medicaid82T4YZTX

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Sheila Heinle Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628063401
PECOS Enrollment IDI20040420000407
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
345 services300 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
36 services33 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
35 services33 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
31 services31 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
6624 FANNIN, SUITE 2600
HOUSTON, TX 77030
Internal Medicine (Infectious Disease)
6624 FANNIN, SUITE 1410
HOUSTON, TX 77030
Internal Medicine (Nephrology)
6624 FANNIN, SUITE 2510, RENAL SPECIALISTS OF HOUSTON, PA
HOUSTON, TX 77030
Internal Medicine (Medical Oncology)
6624 FANNIN, STE 1440
HOUSTON, TX 77030
Urology
6624 FANNIN, SUITE 2280
HOUSTON, TX 77030
Plastic Surgery (Surgery of the Hand)
6624 FANNIN, STE 2730
HOUSTON, TX 77030
Internal Medicine (Clinical Cardiac Electrophysiology)
6624 FANNIN, #2480
HOUSTON, TX 77030
Internal Medicine (Cardiovascular Disease)
6624 FANNIN, #2480
HOUSTON, TX 77030

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sheila Heinle's NPI number?

The NPI number for Sheila Heinle is 1003918244. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Where is Sheila Heinle located?

Sheila Heinle practices at 6624 Fannin #2480, Houston, TX 77030. The listed phone number is (713) 529-5530.

What is Sheila Heinle's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Sheila Heinle enrolled in Medicare?

Yes. Sheila Heinle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Sheila Heinle accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Sheila Heinle as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Sheila Heinle affiliated with any hospitals?

According to CMS data, Sheila Heinle is affiliated with Chi St Luke's Health Baylor College Of Medicine Me.

When was this NPI record last updated?

The NPPES record for Sheila Heinle was last updated on January 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.