MAULIK B SHETH M.D.
NPI 1366852170
Hospitalist in Urbana, IL

Q: What is Maulik Sheth's NPI number?

The NPI number for Maulik Sheth is 1366852170. It was assigned to this individual provider in the NPPES registry on May 1, 2014.

Q: What is Maulik Sheth's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Maulik Sheth was last updated on June 21, 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.

Active since May 01, 2014PECOS EnrolledAccepts Medicare Assignment

611 W. PARK ST., HOSPITALIST, URBANA, IL 61801(217) 383-3129(217) 326-1550 Get Directions Write a Review

NPPES record last updated: June 21, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jun 21, 2023, Feb 28, 2018 (2 updates tracked since 2018).

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About Maulik B Sheth M.d. NPPES

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

MAULIK B SHETH M.D. (NPI 1366852170) is an individual hospitalist provider in Urbana, Illinois, licensed in Illinois (036144213) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center Plano, and maintains a secondary practice location in Saint Louis.

NPPES Registry Identity

NPI1366852170

Entity TypeIndividualMale

Primary Taxonomy208M00000X

Provider Legal NameMAULIK B SHETHCredential: M.D.

Location Address611 W. PARK ST., HOSPITALISTUrbana, IL 61801-2500

Mailing Address611 W. Park St., FapcUrbana, IL 61801-2500 · (217) 383-3311

Phone(217) 383-3129

Fax(217) 326-1550

Sole ProprietorNo

Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2014

Enumeration DateMay 1, 2014

Last NPPES UpdateJune 21, 20232 updates tracked since enumeration

NPPES CertifiedJune 21, 2023

✔ NPI 1366852170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in IL · 036144213

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 036144213 (IL)

611 W. PARK ST., Urbana, IL 61801

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Secondary Practice Location 1

Location 16420 Clayton Rd, St. Mary's Health CenterSaint Louis, MO 63117-1811 · Phone (314) 768-8778

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.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

Maulik B 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 ID9234404419

PECOS Enrollment IDI20211004001265

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 4

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.

376 services187 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.

343 services158 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.

183 services181 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.

94 services93 patients

Hospital Affiliations CMS Care Compare 2

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

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number450890

Location4700 Alliance BoulevardPlano, TX 75093 · Collin County

Emergency services

Baylor Scott & White The Heart Hospital - Plano

Acute Care Hospitals · Plano, TX

5/5 CMS rating

OwnershipProprietary

CMS Certification Number670025

Location1100 Allied DrivePlano, TX 75093 · Collin County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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

$127.46 typical visit price

range $54.80 – $168.44

Typical copayment $31.86 (range $13.70 – $42.11)

Most-billed visit code 99204

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

JOSELYN JOSEPH MD

Internal Medicine

611 W. PARK ST., HOSPITALIST
URBANA, IL 61801

Champaign County (217) 383-3129

LAUREN RUBARTS OT

Occupational Therapist

611 W. PARK ST.
URBANA, IL 61801

Champaign County (217) 383-3400

CHRISTINE PRINCE CRNA

Nurse Anesthetist, Certified Registered

611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801

Champaign County (217) 383-3141

LENA MARIE CLEMENTS CRNA

Nurse Anesthetist, Certified Registered

611 W. PARK ST., ANESTHESIOLOGY
URBANA, IL 61801

Champaign County (217) 383-3303

BENJAMIN J RHEE MD

Internal Medicine (Clinical Cardiac Electrophysiology)

611 W. PARK ST., CARDIOLOGY
URBANA, IL 61801

Champaign County (217) 904-7000

REBECCA A WAGNER MD

Obstetrics & Gynecology

611 W. PARK ST., OB/GYN
URBANA, IL 61801

Champaign County (217) 383-3140

HOSHANG IRANI PA

Physician Assistant

611 W. PARK ST.
URBANA, IL 61801

Champaign County (217) 383-3313

AUBREY N. HUDSON PA

Physician Assistant

611 W. PARK ST., OB/GYN
URBANA, IL 61801

Champaign County (217) 383-3140

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 Maulik Sheth's NPI number?

The NPI number for Maulik Sheth is 1366852170. It was assigned to this individual provider in the NPPES registry on May 1, 2014.

Where is Maulik Sheth located?

Maulik Sheth practices at 611 W. Park St. Hospitalist, Urbana, IL 61801. The listed phone number is (217) 383-3129.

What is Maulik Sheth's specialty?

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

Is Maulik Sheth enrolled in Medicare?

Yes. Maulik 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 Maulik Sheth accept?

Health plans from Blue Cross and Blue Shield of Texas list Maulik 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 Maulik Sheth affiliated with any hospitals?

According to CMS data, Maulik Sheth is affiliated with Baylor Scott & White Medical Center Plano and Baylor Scott & White The Heart Hospital - Plano.

When was this NPI record last updated?

The NPPES record for Maulik Sheth was last updated on June 21, 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.