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ADEEL H SHAIKH MD
NPI 1588815468
Ophthalmology in Houston, TX

Active since October 09, 2008PECOS EnrolledAccepts Medicare Assignment
93.42/100
CMS Quality Rating
1415 NORTH LOOP W, SUITE 400, HOUSTON, TX 77008(713) 869-6400 Get Directions Write a Review

NPPES record last updated: March 19, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Adeel H Shaikh Md NPPES

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

ADEEL H SHAIKH MD (NPI 1588815468) is an individual ophthalmology provider in Houston, Texas, licensed in Texas (P9726) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1588815468
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameADEEL H SHAIKHCredential: MD
Location Address1415 NORTH LOOP W, SUITE 400Houston, TX 77008-1664
Mailing Address2855 Gramercy St # 400Houston, TX 77025-1697 · (713) 668-6828
Phone(713) 869-6400
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateOctober 9, 2008
Last NPPES UpdateMarch 19, 2021
NPPES CertifiedMarch 19, 2021
✔ NPI 1588815468 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in TX · P9726✔ Licensed in OH · 35.098894✔ Licensed in KY · 45124
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
1415 NORTH LOOP W, Houston, TX 77008
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Other Identifiers 1

Medicaid337549501TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Adeel H Shaikh 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 ID7517121296
PECOS Enrollment IDI20140716001287
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 10

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.

Injection, faricimab-svoa, 0.1 mg J2777
Faricimab-svoa is a medication given through an injection into the eye to treat certain eye conditions. The 0.1 mg dosage helps control disease progression, improving vision and eye health. The procedure is done by a healthcare professional.
5,340 services26 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
721 services292 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
615 services245 patients
Injection of drug into eye 67028
An injection into the eye is a procedure where a medication is delivered directly into your eye to treat various conditions. A local anesthetic is applied to numb the eye, ensuring minimal discomfort. The drug helps manage diseases like macular degeneration or diabetic retinopathy.
265 services77 patients
Compounded drug, not otherwise classified J7999
A compounded drug is a personalized medication created to meet unique patient needs. If you can't take standard drugs due to allergies or need a specific dosage not commercially available, a pharmacist can mix ingredients to make a drug specifically for you.
126 services48 patients
Injection, aflibercept, 1 mg J0178
Aflibercept injection is a treatment for certain eye conditions that affect vision. It works by blocking abnormal blood vessel growth and leakage in the eye, which can cause vision loss. The medication is administered directly into the eye by a healthcare professional.
110 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77008 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.

93.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.14
Improvement Activities40
Cost81.47

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.

EDWIN RODRIGUEZ-REYES MD
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 820
HOUSTON, TX 77008
Harris County (713) 861-8200
VIREN J BALSARA M.D.
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 820
HOUSTON, TX 77008
Harris County (713) 861-8200
DR. PAUL GREGORY SELINA M.D.
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 820
HOUSTON, TX 77008
Harris County (713) 861-8200
BITA POUR-JAFARI MD
Family Medicine
1415 NORTH LOOP W
HOUSTON, TX 77008
Harris County (713) 714-2448
MICHAEL S RODRIGUEZ MD
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 820
HOUSTON, TX 77008
Harris County (713) 861-8200
DOUGLAS M MACINERNEY MD
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 820
HOUSTON, TX 77008
Harris County (713) 861-8200
SELECT RADIOLOGY ASSOCIATES, P.L.L.C.
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 240
HOUSTON, TX 77008
Harris County (713) 426-9100
STEVEN S GERGUIS MD
Radiology (Diagnostic Radiology)
1415 NORTH LOOP W, SUITE 820
HOUSTON, TX 77008
Harris County (713) 861-8200

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 Adeel Shaikh's NPI number?

The NPI number for Adeel Shaikh is 1588815468. It was assigned to this individual provider in the NPPES registry on October 9, 2008.

Where is Adeel Shaikh located?

Adeel Shaikh practices at 1415 North Loop W Suite 400, Houston, TX 77008. The listed phone number is (713) 869-6400.

What is Adeel Shaikh's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Adeel Shaikh enrolled in Medicare?

Yes. Adeel Shaikh 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 Adeel Shaikh accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Adeel Shaikh 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 Adeel Shaikh was last updated on March 19, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.