ARPITA A SHETH M.D.
NPI 1144512369
Internal Medicine - Infectious Disease in Plano, TX

Active since May 05, 2011PECOS EnrolledAccepts Medicare Assignment
6537 PRESTON RD, PLANO, TX 75024(972) 484-7700(972) 484-7718 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 21, 2016, Dec 1, 2015 (2 updates tracked since 2015).

About Arpita A Sheth M.d. NPPES

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

ARPITA A SHETH M.D. (NPI 1144512369) is an individual infectious disease provider in Plano, Texas, licensed in Texas (Q5930) and active in the NPI registry since May 2011. She is enrolled in Medicare PECOS, is affiliated with Methodist Richardson Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1144512369
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameARPITA A SHETHCredential: M.D.
Location Address6537 PRESTON RDPlano, TX 75024-2610
Mailing AddressPo Box 802772Dallas, TX 75380-2772 · (972) 484-7700 · Fax (972) 484-7718
Fax(972) 484-7718
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 5, 2011
Last NPPES UpdateSeptember 21, 20162 updates tracked since enumeration
NPI 1144512369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License Licensed in TX · Q5930
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

6537 PRESTON RD, Plano, TX 75024

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

Arpita A Sheth 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 ID2466679709
PECOS Enrollment IDI20151211002073
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
887 services243 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
193 services170 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
124 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.
54 services30 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
54 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Methodist Richardson Medical Center

Acute Care Hospitals · Richardson, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450537
Location2831 E President George Bush HighwayRichardson, TX 75082 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75024 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

Psychiatry & Neurology (Psychiatry)
6537 PRESTON RD
PLANO, TX 75024
Physician Assistant (Medical)
6537 PRESTON RD
PLANO, TX 75024
Internal Medicine (Infectious Disease)
6537 PRESTON RD
PLANO, TX 75024
Internal Medicine (Infectious Disease)
6537 PRESTON RD
PLANO, TX 75024
Internal Medicine (Infectious Disease)
6537 PRESTON RD
PLANO, TX 75024
Family Medicine
6537 PRESTON RD
PLANO, TX 75024
Internal Medicine (Infectious Disease)
6537 PRESTON RD
PLANO, TX 75024
Internal Medicine (Infectious Disease)
6537 PRESTON RD
PLANO, TX 75024

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 Arpita Sheth's NPI number?

The NPI number for Arpita Sheth is 1144512369. It was assigned to this individual provider in the NPPES registry on May 5, 2011.

Where is Arpita Sheth located?

Arpita Sheth practices at 6537 Preston Rd, Plano, TX 75024. The listed phone number is (972) 484-7700.

What is Arpita Sheth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Arpita Sheth enrolled in Medicare?

Yes. Arpita Sheth 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 Arpita Sheth 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 4 other insurers list Arpita Sheth 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 Arpita Sheth affiliated with any hospitals?

According to CMS data, Arpita Sheth is affiliated with Methodist Richardson Medical Center and Medical City Plano.

When was this NPI record last updated?

The NPPES record for Arpita Sheth was last updated on September 21, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.