DR. RACHNA KALAPI SHETH MD
NPI 1275813644
Pediatrics in Houston, TX
About Dr. Rachna Kalapi Sheth Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RACHNA KALAPI SHETH MD (NPI 1275813644) is an individual pediatrics provider in Houston, Texas, licensed in Texas (S7787) and active in the NPI registry since August 2011. She is enrolled in Medicare PECOS and maintains a secondary practice location in New York.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
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)
Dr. Rachna Kalapi Sheth Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Rachna Sheth reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,675 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- Medicare enrollment name: Texas Childrens Physician Group
- 2,498 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.
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.
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.
HOUSTON, TX 77030
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 Rachna Sheth's NPI number?
The NPI number for Rachna Sheth is 1275813644. It was assigned to this individual provider in the NPPES registry on August 17, 2011.
Where is Rachna Sheth located?
Rachna Sheth practices at 1515 Holcombe Blvd, Houston, TX 77030. The listed phone number is (713) 792-2991.
What is Rachna Sheth's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Rachna Sheth enrolled in Medicare?
Yes. Rachna Sheth is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Rachna Sheth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rachna Sheth reassigns Medicare benefits to 2 organizations: Physicians Referral Service (Houston, TX) and Texas Children's Physician Group (Houston, 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 Rachna Sheth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Rachna Sheth accept?
Health plans from Moda Health Plan, Inc. list Rachna 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.
When was this NPI record last updated?
The NPPES record for Rachna Sheth was last updated on October 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Dr. Rachna Kalapi Sheth, MD · NPI 1275813644
Pediatrics physician in Houston, Texas. Individual provider, active in the CMS NPPES registry since August 17, 2011.
## Identity
- **NPI:** 1275813644 (Entity type: Individual)
- **Enumerated:** August 17, 2011
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** S7787 (Texas)
- **Sole proprietor:** No
## Practice location
- **Address:** 1515 HOLCOMBE BLVD, Houston, TX 77030-4000
- **Phone:** (713) 792-2991
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Physicians Referral Service (NPI 1073574810, Houston, TX); Texas Children's Physician Group (NPI 1861675506, Houston, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 8, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1275813644) · Data from the CMS NPPES public registry.