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NAYNA SHAH MD
NPI 1457680076
Family Medicine in Houston, TX

Active since December 10, 2009PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
710 FM 1960 WEST, HOUSTON, TX 77090(281) 440-2692(281) 440-2653 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nayna Shah Md NPPES

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

NAYNA SHAH MD (NPI 1457680076) is an individual family medicine provider in Houston, Texas, licensed in California (A126054) and active in the NPI registry since December 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1457680076
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameNAYNA SHAHCredential: MD
Location Address710 FM 1960 WESTHouston, TX 77090-3402
Mailing Address4299 San Felipe, Suite 300Houston, TX 77027-2916 · (832) 476-3900 · Fax (832) 476-3990
Phone(281) 440-2692
Fax(281) 440-2653
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 10, 2009
Last NPPES UpdateApril 18, 2022
NPPES CertifiedApril 18, 2022
✔ NPI 1457680076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in CA · A126054✔ Licensed in IL · 125056800✔ Licensed in TX · P3447
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
710 FM 1960 WEST, Houston, TX 77090
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Accepted Insurance

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

Nayna Shah 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 ID1355592106
PECOS Enrollment IDI20220509001160
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 5

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.
423 services156 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.
168 services162 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.
158 services57 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.
149 services144 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.
35 services35 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77090 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
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

Other Providers at the Same Location NPPES 4

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

NEDIRA M ABDOWAISE PA
Physician Assistant
710 FM 1960 WEST
HOUSTON, TX 77090
Harris County (281) 440-2543
DR. SRILAKSHMI KONIDALA M.D.
Internal Medicine
710 FM 1960 WEST
HOUSTON, TX 77090
Harris County (281) 440-2692
DR. MARY HAVEN MERKLE MD
Internal Medicine
710 FM 1960 WEST
HOUSTON, TX 77090
Harris County (281) 440-2692
DR. CARLOS CHUA MD
Pediatrics (Neonatal-Perinatal Medicine)
710 FM 1960 WEST, SUITE 220
HOUSTON, TX 77090
Harris County (281) 440-2809

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 Nayna Shah's NPI number?

The NPI number for Nayna Shah is 1457680076. It was assigned to this individual provider in the NPPES registry on December 10, 2009.

Where is Nayna Shah located?

Nayna Shah practices at 710 Fm 1960 West, Houston, TX 77090. The listed phone number is (281) 440-2692.

What is Nayna Shah's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nayna Shah enrolled in Medicare?

Yes. Nayna 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 Nayna Shah accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Nayna 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.

When was this NPI record last updated?

The NPPES record for Nayna Shah was last updated on April 18, 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.