SHKELZEN HOXHAJ MD
NPI 1275501066
Internal Medicine in Houston, TX

Active since March 09, 2006PECOS Enrolled
ONE BAYLOR PLAZA - MS: BCM285, HOUSTON, TX 77030(713) 873-3560(713) 798-6400 Get Directions Write a Review

NPPES record last updated: January 29, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Shkelzen Hoxhaj Md NPPES

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

SHKELZEN HOXHAJ MD (NPI 1275501066) is an individual internal medicine provider in Houston, Texas, licensed in Texas (M8046) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1275501066
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSHKELZEN HOXHAJCredential: MD
Location AddressONE BAYLOR PLAZA - MS: BCM285Houston, TX 77030
Mailing AddressOne Baylor Plaza - Ms: Bcm285Houston, TX 77030 · (713) 873-3560 · Fax (713) 798-6400
Fax(713) 798-6400
Sole ProprietorNo
Enumeration DateMarch 9, 2006
Last NPPES UpdateJanuary 29, 2008
✔ NPI 1275501066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · M8046
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License M8046 (TX)
ONE BAYLOR PLAZA - MS: BCM285, Houston, TX 77030

Other Identifiers 5

Medicare UPIN8K0904TX
OtherP00210283NY · Rr Medicare
Medicare UPINH41085
Medicare PIN225A21NY
Medicaid02550329NY

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shkelzen Hoxhaj Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

4

Medicare enrollment records show Shkelzen Hoxhaj reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1504 TAUB LOOP
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,296 clinicians in this Medicare group
Pediatrics
6621 FANNIN ST
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Texas Childrens Physician Group
  • 2,498 clinicians in this Medicare group
Family Medicine
4200 TWELVE OAKS DR
Houston, TX 77027
  • Reassigned Medicare billing, Texas enrollment
  • 139 clinicians in this Medicare group
Emergency Medicine
8686 NEW TRAILS DR, SUITE 100
Spring, TX 77381
  • Reassigned Medicare billing, Texas enrollment
  • 180 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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 Shkelzen Hoxhaj's NPI number?

The NPI number for Shkelzen Hoxhaj is 1275501066. It was assigned to this individual provider in the NPPES registry on March 9, 2006.

Where is Shkelzen Hoxhaj located?

Shkelzen Hoxhaj practices at One Baylor Plaza - Ms: Bcm285, Houston, TX 77030. The listed phone number is (713) 873-3560.

What is Shkelzen Hoxhaj's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shkelzen Hoxhaj enrolled in Medicare?

Yes. Shkelzen Hoxhaj is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Shkelzen Hoxhaj's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shkelzen Hoxhaj reassigns Medicare benefits to 4 organizations: Baylor College Of Medicine (Houston, TX), Texas Children's Physician Group (Houston, TX), Advanced Surgeons & Physicians Network, Inc. (Houston, TX) and 24 Hour Physicians, Inc (Spring, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shkelzen Hoxhaj's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shkelzen Hoxhaj accept?

Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare and Oscar Insurance Company list Shkelzen Hoxhaj 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 Shkelzen Hoxhaj was last updated on January 29, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.