KAMRAN AHMED SHAIKH M.D.
NPI 1457562274
Internal Medicine - Cardiovascular Disease in Kyle, TX

Active since May 24, 2007PECOS EnrolledAccepts Medicare Assignment
77.84/100
CMS Quality Rating
1180 SETON PKWY, SUITE 450, KYLE, TX 78640(512) 504-0860(512) 504-0861 Get Directions Write a Review

NPPES record last updated: December 22, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kamran Ahmed Shaikh M.d. NPPES

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

KAMRAN AHMED SHAIKH M.D. (NPI 1457562274) is an individual cardiovascular disease provider in Kyle, Texas, licensed in Texas (M4939) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Ascension Seton Medical Center Austin, and is a graduate of Baylor College Of Medicine (2004).

NPPES Registry Identity

NPI1457562274
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameKAMRAN AHMED SHAIKHCredential: M.D.
Location Address1180 SETON PKWY, SUITE 450Kyle, TX 78640-6178
Mailing Address1400 N Ih 35, Suite 300Austin, TX 78701-1926 · (512) 324-8300 · Fax (512) 324-8301
Fax(512) 504-0861
Sole ProprietorNo
Medical School CMSBaylor College Of MedicineGraduated 2004
Enumeration DateMay 24, 2007
Last NPPES UpdateDecember 22, 2014
NPI 1457562274 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · M4939
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 ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License M4939 (TX)
1180 SETON PKWY, Kyle, TX 78640

Other Identifiers 10

Other8ET193TX · Bcbs
Medicare PIN329097YMGJTX
Medicaid189234102TX
Medicare PINTXB156802TX
Medicaid189234105TX
Medicaid189234103TX
Medicare PIN329097YL9XTX
Medicaid189234104TX
Medicare PINTXB156801TX
Other8DE489TX · Bcbs

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

Kamran Ahmed Shaikh 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 ID7315038734
PECOS Enrollment IDI20070814000302
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 19

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.

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.
547 services255 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.
259 services116 patients
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.
221 services217 patients
Mri scan of blood flow of heart 75565
An MRI scan of the heart's blood flow is a non-invasive imaging technique. It uses a magnetic field and radio waves to create detailed images of your heart and its blood vessels. This helps in diagnosing conditions like blockages or abnormalities.
103 services102 patients
Mri scan of heart before and after contrast 75561
An MRI scan of the heart with contrast is a non-invasive imaging test. It uses magnetic fields and radio waves to create detailed pictures of your heart. The contrast dye improves the clarity of these images. This test helps in diagnosing heart conditions.
93 services92 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.
91 services89 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension Seton Medical Center Austin

Acute Care Hospitals · Austin, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450056
Location1201 W 38th StAustin, TX 78705 · Travis County
Emergency services Birthing friendly

Dell Seton Med Center At The University Of Tx

Acute Care Hospitals · Austin, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450124
Location601 E 15th StreetAustin, TX 78701 · Travis County

Christus Santa Rosa Hospital-San Marcos

Acute Care Hospitals · San Marcos, TX
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number450272
Location1301 Wonder World DriveSan Marcos, TX 78666 · Hays County
Emergency services Birthing friendly

Ascension Seton Edgar B Davis

Critical Access Hospitals · Luling, TX
OwnershipVoluntary non-profit - Private
CMS Certification Number451371
Location130 Hays StreetLuling, TX 78648 · Caldwell County
Emergency services

Ascension Seton Hays

Acute Care Hospitals · Kyle, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670056
Location6001 Kyle PkwyKyle, TX 78640 · Hays County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78640 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.

77.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.79
Promoting Interoperability95
Improvement Activities40
Cost27.16

Reported Quality Measures

Breast Cancer Screening
26%272 patients2/55-star benchmark: 93%
Cervical Cancer Screening
30%199 patients2/55-star benchmark: 98%
Chlamydia Screening for Women
25%32 patients
Closing the Referral Loop: Receipt of Specialist Report
38%80 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
28%673 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
74%749 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
75%44 patients3/55-star benchmark: 99%
Diabetes: Eye Exam
7%178 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
62%178 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
84%2,845 patients4/55-star benchmark: 100%
e-Prescribing
99%688 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
16%674 patients1/55-star benchmark: 100%
HIV Screening
9%532 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
24%1,109 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
73%1,001 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%523 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 915 patients
Patients screened: 96% · 915 patients
84%81 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
81%524 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%594 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 692 patients
Patients totalRate: 3% · 694 patients
3%694 patients4/55-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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Automatic external defibrillator, with integrated electrocardiogram analysis, garment type K0606
DME-Other DME · category DE013N
1 supplier11 claims11 services$2,155.54 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Radiology (Radiation Oncology)
1180 SETON PKWY, STE 150
KYLE, TX 78640
Nurse Practitioner (Acute Care)
1180 SETON PKWY, SUITE 450
KYLE, TX 78640
Orthopaedic Surgery
1180 SETON PKWY, SUITE 220
KYLE, TX 78640
Internal Medicine (Interventional Cardiology)
1180 SETON PKWY, SUITE 450
KYLE, TX 78640
Radiology (Radiation Oncology)
1180 SETON PKWY, STE 150
KYLE, TX 78640
Obstetrics & Gynecology
1180 SETON PKWY, SUITE 340
KYLE, TX 78640
Specialist/Technologist, Health Information
1180 SETON PKWY, SUITE 320
KYLE, TX 78640
Psychiatry & Neurology (Neurology)
1180 SETON PKWY, SUITE 300
KYLE, TX 78640

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 Kamran Shaikh's NPI number?

The NPI number for Kamran Shaikh is 1457562274. It was assigned to this individual provider in the NPPES registry on May 24, 2007.

Where is Kamran Shaikh located?

Kamran Shaikh practices at 1180 Seton Pkwy Suite 450, Kyle, TX 78640. The listed phone number is (512) 504-0860.

What is Kamran Shaikh's specialty?

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

Is Kamran Shaikh enrolled in Medicare?

Yes. Kamran Shaikh 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 Kamran Shaikh accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Kamran Shaikh 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 Kamran Shaikh affiliated with any hospitals?

According to CMS data, Kamran Shaikh is affiliated with Ascension Seton Medical Center Austin, Dell Seton Med Center At The University Of Tx, Christus Santa Rosa Hospital-San Marcos, Ascension Seton Edgar B Davis and Ascension Seton Hays.

When was this NPI record last updated?

The NPPES record for Kamran Shaikh was last updated on December 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.