GOPI A SHAH MD
NPI 1528042165
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since December 06, 2005PECOS EnrolledAccepts Medicare Assignment
78.87/100
CMS Quality Rating
6550 FANNIN ST, SUITE 2021, HOUSTON, TX 77030(713) 790-9125(713) 790-1802 Get Directions Write a Review

NPPES record last updated: June 26, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gopi A Shah Md NPPES

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

GOPI A SHAH MD (NPI 1528042165) is an individual cardiovascular disease provider in Houston, Texas, licensed in Texas (K9664) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1528042165
Entity TypeIndividualFemale
Primary Taxonomy207RC0000X
Provider Legal NameGOPI A SHAHCredential: MD
Location Address6550 FANNIN ST, SUITE 2021Houston, TX 77030-2717
Mailing Address6550 Fannin St, Suite 2021Houston, TX 77030-2717 · (713) 790-9125 · Fax (713) 790-1802
Fax(713) 790-1802
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateDecember 6, 2005
Last NPPES UpdateJune 26, 2008
NPI 1528042165 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · K9664
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.

6550 FANNIN ST, Houston, TX 77030

Other Identifiers 5

Medicaid164933701TX
Medicare PIN8K6296TX
Medicare PIN8B7180TX
OtherP00163247Railroad Medicare
Medicare UPINI04716TX

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

Gopi A 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 ID244213650
PECOS Enrollment IDI20040608000769
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 14

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
478 services235 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.
477 services259 patients
Follow-up hospital inpatient care per day, typically 25 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.
210 services75 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
209 services52 patients
Follow-up hospital inpatient care per day, typically 35 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.
178 services66 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.
155 services154 patients

Hospital Affiliations CMS Care Compare 2

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

Houston Methodist Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450358
Location6565 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Houston Methodist Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
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.

78.87/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.42
Promoting Interoperability89
Improvement Activities40
Cost62.97

Reported Quality Measures

Controlling High Blood Pressure
85%385 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
92%37 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
85%1,554 patients4/55-star benchmark: 100%
e-Prescribing
99%467 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%759 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
25%884 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 0% · 400 patients
0%400 patients
Provide Patients Electronic Access to Their Health Information
71%326 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
86%457 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 499 patients
Patients totalRate: 0% · 499 patients
0%499 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.

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.

Dentist (General Practice)
6550 FANNIN ST, STE 2103
HOUSTON, TX 77030
Dentist (General Practice)
6550 FANNIN ST, STE 2103
HOUSTON, TX 77030
Dentist (General Practice)
6550 FANNIN ST, STE 2103
HOUSTON, TX 77030
Internal Medicine (Clinical Cardiac Electrophysiology)
6550 FANNIN ST, SUITE 1723
HOUSTON, TX 77030
Colon & Rectal Surgery
6550 FANNIN ST, STE 2307
HOUSTON, TX 77030
Registered Nurse (Otorhinolaryngology & Head-Neck)
6550 FANNIN ST, STE 2001
HOUSTON, TX 77030
Speech-Language Pathologist
6550 FANNIN ST, STE 2001
HOUSTON, TX 77030
Registered Nurse (Otorhinolaryngology & Head-Neck)
6550 FANNIN ST, STE 2001
HOUSTON, TX 77030

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1528042165, enumerated as an "individual" on December 06, 2005.

The provider is located at 6550 FANNIN ST SUITE 2021 HOUSTON, TX 77030 and the phone number is (713) 790-9125.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Molina Healthcare, WellPoint, Medicare, Medicaid. Please consult your insurance carrier or call the provider to verify.

Gopi Shah is affiliated with: HOUSTON METHODIST HOSPITAL and HOUSTON METHODIST CLEAR LAKE HOSPITAL.