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: August 16, 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 (1993).

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 1993
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 17

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.
670 services362 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.
659 services371 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.
244 services60 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.
167 services164 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.
134 services46 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.
101 services100 patients

Hospital Affiliations CMS Care Compare 5

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 Baytown Hospital

Acute Care Hospitals · Baytown, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450424
Location4401 Garth RoadBaytown, TX 77521 · 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

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670077
Location18500 Katy FreewayHouston, TX 77094 · Harris County
Emergency services Birthing friendly

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery 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.

Student in an Organized Health Care Education/Training Program
6550 FANNIN ST
HOUSTON, TX 77030
Psychologist (Clinical)
6550 FANNIN ST
HOUSTON, TX 77030
Physician Assistant
6550 FANNIN ST, SMITH TOWER, SUITE 1901
HOUSTON, TX 77030
Obstetrics & Gynecology
6550 FANNIN ST
HOUSTON, TX 77030
Ophthalmology
6550 FANNIN ST, SUITE 1501
HOUSTON, TX 77030
Dentist (General Practice)
6550 FANNIN ST, STE 2103
HOUSTON, TX 77030
Internal Medicine
6550 FANNIN ST, SMITH 1101
HOUSTON, TX 77030
Psychiatry & Neurology (Neurology)
6550 FANNIN ST, SUITE 1801
HOUSTON, TX 77030

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 Gopi Shah's NPI number?

The NPI number for Gopi Shah is 1528042165. It was assigned to this individual provider in the NPPES registry on December 6, 2005.

Where is Gopi Shah located?

Gopi Shah practices at 6550 Fannin St Suite 2021, Houston, TX 77030. The listed phone number is (713) 790-9125.

What is Gopi Shah's specialty?

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

Is Gopi Shah enrolled in Medicare?

Yes. Gopi 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 Gopi Shah accept?

Health plans from Molina Healthcare and WellPoint list Gopi 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 Gopi Shah affiliated with any hospitals?

According to CMS data, Gopi Shah is affiliated with Houston Methodist Hospital, Houston Methodist Baytown Hospital, Houston Methodist Clear Lake Hospital, Houston Methodist West Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Gopi Shah was last updated on June 26, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.