SHAIKH ALI MD PA
NPI 1629026273
Internal Medicine - Rheumatology in Tomball, TX

Active since May 05, 2006PECOS EnrolledAccepts Medicare Assignment
90.52/100
CMS Quality Rating
455 SCHOOL ST, SUITE 27, TOMBALL, TX 77375(281) 357-0666(281) 255-2740 Get Directions Write a Review

NPPES record last updated: May 31, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Shaikh Ali Md Pa NPPES

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

SHAIKH ALI MD PA (NPI 1629026273) is an individual rheumatology provider in Tomball, Texas, licensed in Texas (J8874) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Tomball, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1629026273
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameSHAIKH ALICredential: MD PA
Location Address455 SCHOOL ST, SUITE 27Tomball, TX 77375-4593
Mailing Address455 School St, Suite N27Tomball, TX 77375-4593 · (281) 357-0666 · Fax (281) 255-2740
Fax(281) 255-2740
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateMay 5, 2006
Last NPPES UpdateMay 31, 2012
NPI 1629026273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in TX · J8874
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
455 SCHOOL ST, Tomball, TX 77375

Other Identifiers 3

Medicare UPINF25701TX
Medicaid031566502TX
Medicare PIN8A5552TX

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

Shaikh Ali Md Pa 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 ID8224292784
PECOS Enrollment IDI20120613000148
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 15

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, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
115,600 services32 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
2,580 services29 patients
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle 96401
This procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
625 services62 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.
580 services271 patients
Hyaluronan or derivative, hyalgan, supartz or visco-3, for intra-articular injection, per dose J7321
Hyaluronan or derivatives like Hyalgan, Supartz, or Visco-3, are used in intra-articular injections for joint pain relief. They help by improving joint lubrication, reducing inflammation, and promoting tissue healing. Each dose is administered directly into the joint space.
149 services13 patients
Administration of chemotherapy into vein, 1 hour or less 96413
Chemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
125 services20 patients

Hospital Affiliations CMS Care Compare

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

Hca Houston Healthcare Tomball

Acute Care Hospitals · Tomball, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450670
Location605 HolderriethTomball, TX 77375 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77375 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
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

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.

90.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality82.78
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%998 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
98%4,691 patients4/55-star benchmark: 100%
e-Prescribing
96%2,426 patients3/55-star benchmark: 100%
Falls: Plan of Care
93%60 patients
Falls: Screening for Future Fall Risk
100%965 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
97%1,733 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
80%1,687 patients4/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
100%928 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.

Internal Medicine
455 SCHOOL ST, SUITE 27
TOMBALL, TX 77375
Pediatrics
455 SCHOOL ST, STE 26
TOMBALL, TX 77375
Nurse Practitioner (Family)
455 SCHOOL ST, SUITE 44
TOMBALL, TX 77375
Obstetrics & Gynecology
455 SCHOOL ST, SUITE 29
TOMBALL, TX 77375
Occupational Therapy Assistant
455 SCHOOL ST
TOMBALL, TX 77375
Obstetrics & Gynecology
455 SCHOOL ST, SUITE 29
TOMBALL, TX 77375
Orthopaedic Surgery
455 SCHOOL ST, SUITE 24
TOMBALL, TX 77375
Social Worker (Clinical)
455 SCHOOL ST, SUITE 14
TOMBALL, TX 77375

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 Shaikh Ali's NPI number?

The NPI number for Shaikh Ali is 1629026273. It was assigned to this individual provider in the NPPES registry on May 5, 2006.

Where is Shaikh Ali located?

Shaikh Ali practices at 455 School St Suite 27, Tomball, TX 77375. The listed phone number is (281) 357-0666.

What is Shaikh Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Shaikh Ali enrolled in Medicare?

Yes. Shaikh Ali 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 Shaikh Ali 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 2 other insurers list Shaikh Ali 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 Shaikh Ali affiliated with any hospitals?

According to CMS data, Shaikh Ali is affiliated with Hca Houston Healthcare Tomball.

When was this NPI record last updated?

The NPPES record for Shaikh Ali was last updated on May 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.