MAULIK B SHETH M.D.
NPI 1366852170
Hospitalist in Urbana, IL
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
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 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.
Medicare Billing Reassignment
Medicare enrollment records show Maulik Sheth reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Heath, TX 75032
- Reassigned Medicare billing, Texas enrollment
- 3,167 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.
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.
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, TXBaylor Scott & White The Heart Hospital - Plano
Acute Care Hospitals · Plano, TXPhysician 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.
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.
URBANA, IL 61801
URBANA, IL 61801
URBANA, IL 61801
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.
Which organization bills Medicare for Maulik Sheth's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Maulik Sheth reassigns Medicare benefits to Healthtexas Provider Network (Heath, TX). The 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 Maulik Sheth's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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.
# Maulik B Sheth, M.D. · NPI 1366852170
Hospitalist physician in Urbana, Illinois. Individual provider, active in the CMS NPPES registry since May 1, 2014.
## Identity
- **NPI:** 1366852170 (Entity type: Individual)
- **Enumerated:** May 1, 2014
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 036144213 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 611 W. PARK ST., HOSPITALIST, Urbana, IL 61801-2500
- **Phone:** (217) 383-3129 · **Fax:** (217) 326-1550
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Healthtexas Provider Network (NPI 1538164116, Heath, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Illinois College Of Med, class of 2014
## Record status
- **NPPES last updated:** June 21, 2023
---
Source: [NPI Profile](https://npiprofile.com/npi/1366852170) · Data from the CMS NPPES public registry.