SHELDON LAWRENCE GAINES MD
NPI 1215399100
Family Medicine in Houston, TX
About Sheldon Lawrence Gaines Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SHELDON LAWRENCE GAINES MD (NPI 1215399100) is an individual family medicine provider in Houston, Texas, licensed in Texas (R8741) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Houston, and is a graduate of University Of Texas Medical Branch At Galveston (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
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
Sheldon Lawrence Gaines 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77087 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Sheldon Gaines's NPI number?
The NPI number for Sheldon Gaines is 1215399100. It was assigned to this individual provider in the NPPES registry on March 22, 2016.
Where is Sheldon Gaines located?
Sheldon Gaines practices at 520 Gulfgate Center Mall, Houston, TX 77087. The listed phone number is (713) 442-3700.
What is Sheldon Gaines's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Sheldon Gaines enrolled in Medicare?
Yes. Sheldon Gaines 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 Sheldon Gaines accept?
Health plans from UnitedHealthcare list Sheldon Gaines 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.
When was this NPI record last updated?
The NPPES record for Sheldon Gaines was last updated on June 6, 2023. 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.
# Sheldon Lawrence Gaines, MD · NPI 1215399100
Family Medicine physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since March 22, 2016.
## Identity
- **NPI:** 1215399100 (Entity type: Individual)
- **Enumerated:** March 22, 2016
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** R8741 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 520 GULFGATE CENTER MALL, Houston, TX 77087-3022
- **Phone:** (713) 442-3700
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** University Of Texas Medical Branch At Galveston, class of 2016
## Record status
- **NPPES last updated:** June 6, 2023
- **Other identifiers:** Medicaid 399785001 (TX)
---
Source: [NPI Profile](https://npiprofile.com/npi/1215399100) · Data from the CMS NPPES public registry.