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SHEEMA ZAFAR
NPI 1194387142
Hospitalist in The Woodlands, TX

Active since June 30, 2019PECOS EnrolledAccepts Medicare Assignment
17201 I 45 S, THE WOODLANDS, TX 77385(936) 270-2099 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2026, Feb 14, 2023 (2 updates tracked since 2023).

About Sheema Zafar NPPES

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

SHEEMA ZAFAR (NPI 1194387142) is an individual hospitalist provider in The Woodlands, Texas, licensed in Texas (U8019) and active in the NPI registry since June 2019. She is enrolled in Medicare PECOS, is affiliated with Elkhart General Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1194387142
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameSHEEMA ZAFAR
Location Address17201 I 45 SThe Woodlands, TX 77385-3311
Mailing Address17201 I 45 SThe Woodlands, TX 77385-3311 · (936) 270-2099
Phone(936) 270-2099
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 30, 2019
Last NPPES UpdateMarch 5, 20262 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1194387142 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · U8019
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
17201 I 45 S, The Woodlands, TX 77385
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Sheema Zafar 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 ID9234501396
PECOS Enrollment IDI20230218000241, I20260121004037
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 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.
247 services107 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
134 services129 patients
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.
101 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
28 services27 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.
25 services25 patients

Hospital Affiliations CMS Care Compare 3

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

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77385 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 20

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

JENNIFER SQUYRES
Pharmacist
17201 I 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2700
DR. CAITLIN LABAY PHARMD
Pharmacist
17201 I 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2221
ALEXANDRIA DANIEL ALLEN M.D.
Hospitalist
17201 I 45 S
SHENANDOAH, TX 77385
Montgomery County (936) 270-2099
CHI KHANH DO PHARMD
Pharmacist (Pharmacotherapy)
17201 I 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2000
BRENDA DANIELLE HENSON
Registered Nurse (Medical-Surgical)
17201 I 45 S
SHENANDOAH, TX 77385
Montgomery County (936) 270-2000
OSAMA FALEH ODEH MD
Student in an Organized Health Care Education/Training Program
17201 I 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2000
GEORGIA S WOOLERY NP
Nurse Practitioner (Psychiatric/Mental Health)
17201 I 45 S
SHENANDOAH, TX 77385
Montgomery County (281) 836-2100
METHODIST HEALTH CENTERS
General Acute Care Hospital
17201 I 45 S
THE WOODLANDS, TX 77385
Montgomery County (936) 270-2000

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 Sheema Zafar's NPI number?

The NPI number for Sheema Zafar is 1194387142. It was assigned to this individual provider in the NPPES registry on June 30, 2019.

Where is Sheema Zafar located?

Sheema Zafar practices at 17201 I 45 S, The Woodlands, TX 77385. The listed phone number is (936) 270-2099.

What is Sheema Zafar's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Sheema Zafar enrolled in Medicare?

Yes. Sheema Zafar 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 Sheema Zafar accept?

Health plans from CareSource list Sheema Zafar 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 Sheema Zafar affiliated with any hospitals?

According to CMS data, Sheema Zafar is affiliated with Elkhart General Hospital, Memorial Hospital Of South Bend and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Sheema Zafar was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.