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

Q: 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.

Q: What is Gopi Shah's specialty?

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

Q: 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.

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: October 18, 2026.

On this page

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

Phone(713) 790-9125

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

Open in Google Maps ↗

Other Identifiers 5

Medicaid164933701TX

Medicare PIN8K6296TX

Medicare PIN8B7180TX

OtherP00163247Railroad Medicare

Medicare UPINI04716TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include WellPoint.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Gopi Shah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tmh Physician Associates PLLC

Same address

Ophthalmology

6550 FANNIN ST, SUITE 447
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
2,407 clinicians in this Medicare group

NPI 1275779225 (713) 441-7389

Interventional Cardiology Associates

Same address

Specialist

6550 FANNIN ST, SUITE 2021
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
5 clinicians in this Medicare group

NPI 1710070875 (713) 790-9125

Houston Methodist Specialty Physicians

1.0 mi

Otolaryngology

7550 GREENBRIAR DR STE 600
Houston, TX 77030

Reassigned Medicare billing, Texas enrollment
1,579 clinicians in this Medicare group

NPI 1902614332 (281) 414-6055

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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

101 services100 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

97 services95 patients

Technetium tc-99m tetrofosmin, diagnostic, per study dose A9502

Technetium Tc-99m Tetrofosmin is a radiopharmaceutical used in diagnostic imaging. It helps highlight areas of concern in the heart by emitting signals captured by a special camera. This assists doctors in detecting heart conditions.

92 services84 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

86 services85 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician 93015

An exercise or drug-induced heart stress test with ECG is a procedure performed by a doctor to assess how your heart responds to exertion. It involves monitoring your heart's electrical activity while you exercise or after medication is given to mimic exercise effects.

85 services84 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.

57 services21 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.

40 services36 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

33 services33 patients

Ultrasound of heart with color-depicted blood flow, rate and valve function 93325

An ultrasound of the heart, also known as an echocardiogram, uses sound waves to create pictures of your heart. It shows the structure, movement, and blood flow within your heart. This helps assess the heart's health and function, including the valves and rate.

29 services29 patients

Ultrasound of heart blood flow, valves and chambers, follow-up 93321

This procedure, an echocardiogram, uses sound waves to create images of your heart. It aids in assessing your heart's blood flow, chambers, and valves. It's a follow-up procedure, ensuring that your heart is functioning properly post-treatment.

26 services26 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

24 services24 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services13 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 Sugarland Hospital

Acute Care Hospitals · Sugar Land, TX

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450820

Location16655 Southwest FreewaySugar Land, TX 77479 · Fort Bend 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

Quality

66.42

Promoting Interoperability

Improvement Activities

Cost

62.97

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.

MEGAN MCCLANAHAN

Student in an Organized Health Care Education/Training Program

6550 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 441-5155

MARIANNE CARLSON PSYD

Psychologist (Clinical)

6550 FANNIN ST
HOUSTON, TX 77030

Harris County (346) 248-2040

MARIE MCLAIN P.A.

Physician Assistant

6550 FANNIN ST, SMITH TOWER, SUITE 1901
HOUSTON, TX 77030

Harris County (713) 441-1100

DALIA MOGHAZY MD

Obstetrics & Gynecology

6550 FANNIN ST
HOUSTON, TX 77030

Harris County (713) 790-3311

YVONNE I-FANG CHU M.D.

Ophthalmology

6550 FANNIN ST, SUITE 1501
HOUSTON, TX 77030

Harris County (713) 798-6100

DR. SAM JERRY LONG D.D.S.

Dentist (General Practice)

6550 FANNIN ST, STE 2103
HOUSTON, TX 77030

Harris County (713) 797-0846

THOMAS W KNIGHT MD

Internal Medicine

6550 FANNIN ST, SMITH 1101
HOUSTON, TX 77030

Harris County (713) 441-0006

DR. JOOHI JIMENEZ-SHAHED M.D.

Psychiatry & Neurology (Neurology)

6550 FANNIN ST, SUITE 1801
HOUSTON, TX 77030

Harris County (713) 798-5975

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.

Which organizations bill Medicare for Gopi Shah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gopi Shah reassigns Medicare benefits to 3 organizations: Tmh Physician Associates PLLC (Houston, TX), Interventional Cardiology Associates (Houston, TX) and Houston Methodist Specialty Physicians (Houston, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gopi Shah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gopi Shah accept?

Health plans from 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 Sugarland 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.