DR. SHAHEEN KAVOUSSI M.D.
NPI 1063788446
Ophthalmology in Houston, TX

Active since March 29, 2012PECOS EnrolledAccepts Medicare Assignment
82.46/100
CMS Quality Rating
6560 FANNIN ST STE 1812, HOUSTON, TX 77030(832) 306-3209(832) 356-5462 Get Directions Write a Review

NPPES record last updated: October 27, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 27, 2022, Aug 19, 2021, Oct 14, 2020 and 5 more (8 updates tracked since 2017).

About Dr. Shaheen Kavoussi M.d. NPPES

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

DR. SHAHEEN KAVOUSSI M.D. (NPI 1063788446) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (Q4439) and active in the NPI registry since March 2012. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Baylor College Of Medicine (2010).

NPPES Registry Identity

NPI1063788446
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. SHAHEEN KAVOUSSICredential: M.D.
Location Address6560 FANNIN ST STE 1812Houston, TX 77030-2775
Mailing Address2117 Del Monte DrHouston, TX 77019-3517 · (713) 725-8012
Fax(832) 356-5462
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 2010
Enumeration DateMarch 29, 2012
Last NPPES UpdateOctober 27, 20228 updates tracked since enumeration
NPPES CertifiedOctober 27, 2022
NPI 1063788446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses Licensed in TX · Q4439 Licensed in NY · 292289-1 Licensed in IN · 01081778A Licensed in CA · A154904
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
Also ListedOphthalmology · Retina SpecialistTaxonomy 207WX0107X · License Q4439 (TX)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License BP10041058 (TX)
6560 FANNIN ST STE 1812, Houston, TX 77030

Other Identifiers 3

Medicaid347100509TX
Medicaid347100507TX
Medicaid347100508TX

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. Shaheen Kavoussi M.d. 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 ID2961714555
PECOS Enrollment IDI20150710000864
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 19

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.

Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
972 services432 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
750 services159 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
628 services86 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
446 services265 patients
Destruction of growth of retina using a laser 67210
This procedure involves using a precise laser to target and remove abnormal growths on the retina, the thin layer at the back of the eye. It's a safe and effective way to protect your vision and prevent further eye damage.
351 services117 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.
230 services147 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

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.

82.46/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost41.55

Other Providers at the Same Location NPPES

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

Optometrist
6560 FANNIN ST STE 1812
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 Shaheen Kavoussi's NPI number?

The NPI number for Shaheen Kavoussi is 1063788446. It was assigned to this individual provider in the NPPES registry on March 29, 2012.

Where is Shaheen Kavoussi located?

Shaheen Kavoussi practices at 6560 Fannin St Ste 1812, Houston, TX 77030. The listed phone number is (832) 306-3209.

What is Shaheen Kavoussi's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Shaheen Kavoussi enrolled in Medicare?

Yes. Shaheen Kavoussi 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 Shaheen Kavoussi accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Shaheen Kavoussi 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 Shaheen Kavoussi affiliated with any hospitals?

According to CMS data, Shaheen Kavoussi is affiliated with Houston Methodist Hospital.

When was this NPI record last updated?

The NPPES record for Shaheen Kavoussi was last updated on October 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.