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DHRUVIL SHAH M.D.
NPI 1457512964
Surgery in Houston, TX

Active since June 18, 2008PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
150 F.M. 1959, HOUSTON, TX 77034(281) 922-5550(281) 484-8910 Get Directions Write a Review

NPPES record last updated: January 6, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dhruvil Shah M.d. NPPES

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

DHRUVIL SHAH M.D. (NPI 1457512964) is an individual surgery provider in Houston, Texas, licensed in Texas (Q0821) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Clear Lake, and is a graduate of Baylor College Of Medicine (2008).

NPPES Registry Identity

NPI1457512964
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDHRUVIL SHAHCredential: M.D.
Location Address150 F.M. 1959Houston, TX 77034
Mailing Address150 F.m. 1959Houston, TX 77034 · (281) 922-5550 · Fax (281) 484-8910
Phone(281) 922-5550
Fax(281) 484-8910
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2008
Enumeration DateJune 18, 2008
Last NPPES UpdateJanuary 6, 2022
✔ NPI 1457512964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · Q0821
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
150 F.M. 1959, Houston, TX 77034
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Other Identifiers 1

Medicaid338007301TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Dhruvil Shah 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 ID7810116654
PECOS Enrollment IDI20140910000685
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 7

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
46 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
38 services36 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.
36 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
20 services20 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Clear Lake

Acute Care Hospitals · Webster, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450617
Location500 W Medical Center BlvdWebster, TX 77598 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77034 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality90
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

e-Prescribing
100%27 patients5/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%212 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Dhruvil Shah's NPI number?

The NPI number for Dhruvil Shah is 1457512964. It was assigned to this individual provider in the NPPES registry on June 18, 2008.

Where is Dhruvil Shah located?

Dhruvil Shah practices at 150 F.M. 1959, Houston, TX 77034. The listed phone number is (281) 922-5550.

What is Dhruvil Shah's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dhruvil Shah enrolled in Medicare?

Yes. Dhruvil Shah 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 Dhruvil Shah 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 7 other insurers list Dhruvil Shah 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 Dhruvil Shah affiliated with any hospitals?

According to CMS data, Dhruvil Shah is affiliated with Hca Houston Healthcare Clear Lake.

When was this NPI record last updated?

The NPPES record for Dhruvil Shah was last updated on January 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.