DR. KELLY SHUM MD
NPI 1366886178
Internal Medicine - Cardiovascular Disease in The Woodlands, TX

Active since April 23, 2013PECOS EnrolledAccepts Medicare Assignment
91.34/100
CMS Quality Rating
17350 ST LUKES WAY STE 400, THE WOODLANDS, TX 77384(362) 664-8009(936) 266-4775 Get Directions Write a Review

NPPES record last updated: August 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 1, 2024, Sep 6, 2019 (2 updates tracked since 2019).

About Dr. Kelly Shum Md NPPES

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

DR. KELLY SHUM MD (NPI 1366886178) is an individual cardiovascular disease provider in The Woodlands, Texas, licensed in Texas (S1273) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1366886178
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameDR. KELLY SHUMCredential: MD
Location Address17350 ST LUKES WAY STE 400The Woodlands, TX 77384-4167
Mailing Address17350 St Lukes Way Ste 400The Woodlands, TX 77384-4167 · (936) 266-4909 · Fax (936) 266-4775
Fax(936) 266-4775
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateApril 23, 2013
Last NPPES UpdateAugust 1, 20242 updates tracked since enumeration
NPPES CertifiedAugust 1, 2024
NPI 1366886178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · S1273
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License S1273 (TX)
17350 ST LUKES WAY STE 400, The Woodlands, TX 77384

Secondary Practice Locations 2

Location 11514 Jefferson HwyJefferson, LA 70121-2429 · Phone (504) 842-3000
Location 22255 E Mossy Oaks Rd Ste 600Spring, TX 77389-1813 · Phone (936) 266-4800 · Fax (936) 266-4775

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

Dr. Kelly Shum 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.

PECOS PAC ID1456575778
PECOS Enrollment IDI20191001003397
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 25

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
275 services270 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
229 services115 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.
195 services112 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
174 services144 patients
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.
152 services98 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.
136 services134 patients

Hospital Affiliations CMS Care Compare 5

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

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450184
Location1635 North Loop WestHouston, TX 77008 · Harris County
Emergency services Birthing friendly

Chi St Luke's Health Baylor College Of Medicine Me

Acute Care Hospitals · Houston, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450193
Location6720 Bertner Ave, Ste Mc1-266Houston, TX 77030 · Harris County
Emergency services

St Luke's The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450862
Location17200 St Luke's WayThe Woodlands, TX 77384 · Montgomery County
Emergency services Birthing friendly

Chi St Lukes Lakeside Hospital

Acute Care Hospitals · The Woodlands, TX
OwnershipVoluntary non-profit - Other
CMS Certification Number670059
Location17400 St Lukes WayThe Woodlands, TX 77384 · Montgomery County
Emergency services

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77384 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

91.34/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.64
Promoting Interoperability89.13
Improvement Activities40

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
17350 ST LUKES WAY STE 400
THE WOODLANDS, TX 77384
Nurse Practitioner
17350 ST LUKES WAY STE 400
THE WOODLANDS, TX 77384
Nurse Practitioner (Acute Care)
17350 ST LUKES WAY STE 400
THE WOODLANDS, TX 77384
Nurse Practitioner
17350 ST LUKES WAY STE 400
THE WOODLANDS, TX 77384
Nurse Practitioner (Acute Care)
17350 ST LUKES WAY STE 400
THE WOODLANDS, TX 77384
Internal Medicine (Cardiovascular Disease)
17350 ST LUKES WAY STE 400
THE WOODLANDS, TX 77384
Nurse Practitioner (Acute Care)
17350 ST LUKES WAY STE 400
THE WOODLANDS, TX 77384
Internal Medicine (Cardiovascular Disease)
17350 ST LUKES WAY STE 400, MEDICAL ARTS BUILDING II
THE WOODLANDS, TX 77384

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 Kelly Shum's NPI number?

The NPI number for Kelly Shum is 1366886178. It was assigned to this individual provider in the NPPES registry on April 23, 2013.

Where is Kelly Shum located?

Kelly Shum practices at 17350 St Lukes Way Ste 400, The Woodlands, TX 77384. The listed phone number is (362) 664-8009.

What is Kelly Shum's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Kelly Shum enrolled in Medicare?

Yes. Kelly Shum 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 Kelly Shum accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Kelly Shum 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 Kelly Shum affiliated with any hospitals?

According to CMS data, Kelly Shum is affiliated with Memorial Hermann Hospital System, Chi St Luke's Health Baylor College Of Medicine Me, St Luke's The Woodlands Hospital, Chi St Lukes Lakeside Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Kelly Shum was last updated on August 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.