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DR. KALPAN SHAH DO
NPI 1497319982
Hospitalist in Shenandoah, TX

Active since April 30, 2019PECOS EnrolledAccepts Medicare Assignment
9250 PINECROFT DR, SHENANDOAH, TX 77380(713) 897-2300 Get Directions Write a Review

NPPES record last updated: September 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 19, 2024, Mar 3, 2023, Apr 30, 2019 (3 updates tracked since 2019).

About Dr. Kalpan Shah Do NPPES

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

DR. KALPAN SHAH DO (NPI 1497319982) is an individual hospitalist provider in Shenandoah, Texas, licensed in Texas (T5453) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Hospital System, and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2019).

NPPES Registry Identity

NPI1497319982
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. KALPAN SHAHCredential: DO
Location Address9250 PINECROFT DRShenandoah, TX 77380-3218
Mailing Address9250 Pinecroft Dr # N2101Shenandoah, TX 77380-3218 · (713) 897-2307
Phone(713) 897-2300
Sole ProprietorNo
Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2019
Enumeration DateApril 30, 2019
Last NPPES UpdateSeptember 19, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 19, 2024
✔ NPI 1497319982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · T5453
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License T5453 (TX)
9250 PINECROFT DR, Shenandoah, TX 77380
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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, Molina Healthcare 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

Dr. Kalpan Shah Do 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 ID5597132449
PECOS Enrollment IDI20221104002072
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 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.
525 services168 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.
224 services87 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.
178 services172 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
112 services110 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
52 services52 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.
46 services46 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77380 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

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.

MRS. RONIA J KHOURI AGACNP-BC, FNP-C
Nurse Practitioner
9250 PINECROFT DR
SHENANDOAH, TX 77380
Montgomery County (713) 897-2300
STEPHANIE LYN TACKETT PTA
Physical Therapy Assistant
9250 PINECROFT DR
SHENANDOAH, TX 77380
Montgomery County (713) 303-0252
CHRIS JOSEPH HONG MD
Emergency Medicine
9250 PINECROFT DR
SHENANDOAH, TX 77380
Montgomery County (713) 897-2300
JEAN HANES ENP
Nurse Practitioner
9250 PINECROFT DR
THE WOODLANDS, TX 77380
Montgomery County (281) 364-2300
DR. JESSICA KAY PHARM.D.
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
9250 PINECROFT DR, DEPARTMENT OF PHARMACY
SHENANDOAH, TX 77380
Montgomery County (713) 897-7649
FRANGEL ARIAS SANCHEZ MD
Hospitalist
9250 PINECROFT DR
SHENANDOAH, TX 77380
Montgomery County (713) 897-2300
MUAAMAR BALDAWI DO
Hospitalist
9250 PINECROFT DR
SHENANDOAH, TX 77380
Montgomery County (713) 897-2307
YASMIN ALWASH MD
Hospitalist
9250 PINECROFT DR
SHENANDOAH, TX 77380
Montgomery County (713) 897-2307

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 Kalpan Shah's NPI number?

The NPI number for Kalpan Shah is 1497319982. It was assigned to this individual provider in the NPPES registry on April 30, 2019.

Where is Kalpan Shah located?

Kalpan Shah practices at 9250 Pinecroft Dr, Shenandoah, TX 77380. The listed phone number is (713) 897-2300.

What is Kalpan Shah's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Kalpan Shah enrolled in Medicare?

Yes. Kalpan 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 Kalpan Shah accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare and Oscar Insurance Company list Kalpan 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 Kalpan Shah affiliated with any hospitals?

According to CMS data, Kalpan Shah is affiliated with Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Kalpan Shah was last updated on September 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.