MUKESH R. SHETH MD
NPI 1629074208
Internal Medicine - Interventional Cardiology in Denison, TX

Active since June 28, 2005PECOS EnrolledAccepts Medicare Assignment
78.17/100
CMS Quality Rating
5026 POOL ROAD, DENISON, TX 75020(903) 465-3624(903) 465-3973 Get Directions Write a Review

NPPES record last updated: October 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mukesh R. Sheth Md NPPES

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

MUKESH R. SHETH MD (NPI 1629074208) is an individual interventional cardiology provider in Denison, Texas, licensed in Texas (H5061) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Alliancehealth Durant, and is a graduate of Other (1979).

NPPES Registry Identity

NPI1629074208
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameMUKESH R. SHETHCredential: MD
Location Address5026 POOL ROADDenison, TX 75020-4595
Mailing Address5012 S Us Highway 75 Ste 300, Att. BillingDension, TX 75020-4589 · (903) 465-3624 · Fax (903) 465-3973
Fax(903) 465-3973
Sole ProprietorNo
Medical School CMSOtherGraduated 1979
Enumeration DateJune 28, 2005
Last NPPES UpdateOctober 9, 2017
NPI 1629074208 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in TX · H5061
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License H5061 (TX)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License H5061 (TX)
5026 POOL ROAD, Denison, TX 75020

Other Identifiers 6

Medicare PIN385965ZLU2OK
Other16625OK · Medical Licensure
Medicaid131311608TX
Medicare PIN385459YSYFTX
Medicare UPINC21752TX
Medicaid100033830AOK

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

Mukesh R. Sheth 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 ID9638193683
PECOS Enrollment IDI20060118000806, I20071228000103
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 32

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 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.
738 services495 patients
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.
540 services324 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.
485 services119 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.
404 services205 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.
394 services363 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
380 services244 patients

Hospital Affiliations CMS Care Compare 5

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

Alliancehealth Durant

Acute Care Hospitals · Durant, OK
1/5 CMS rating
OwnershipProprietary
CMS Certification Number370014
Location1800 University BoulevardDurant, OK 74702 · Bryan County
Emergency services Birthing friendly

Choctaw Nation Health Services Authority

Acute Care Hospitals · Talihina, OK
OwnershipTribal
CMS Certification Number370172
Location1 Choctaw WayTalihina, OK 74571 · Latimer County
Emergency services Birthing friendly

Texoma Medical Center

Acute Care Hospitals · Denison, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450324
Location5016 S Us Highway 75Denison, TX 75020 · Grayson County
Emergency services Birthing friendly

Wilson N Jones Regional Medical Center

Acute Care Hospitals · Sherman, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450469
Location500 N Highland AvenueSherman, TX 75091 · Grayson County
Emergency services Birthing friendly

Tmc- Bonham Hospital

Critical Access Hospitals · Bonham, TX
OwnershipGovernment - Hospital District or Authority
CMS Certification Number451370
Location504 Lipscomb StreetBonham, TX 75418 · Fannin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75020 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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.

78.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.98
Promoting Interoperability100
Improvement Activities40
Cost54.58

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
5026 POOL ROAD
DENISON, TX 75020
Specialist
5026 POOL ROAD
DENISON, TX 75020
Internal Medicine (Interventional Cardiology)
5026 POOL ROAD
DENISON, TX 75020
Internal Medicine (Interventional Cardiology)
5026 POOL ROAD
DENISON, TX 75020

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 Mukesh Sheth's NPI number?

The NPI number for Mukesh Sheth is 1629074208. It was assigned to this individual provider in the NPPES registry on June 28, 2005.

Where is Mukesh Sheth located?

Mukesh Sheth practices at 5026 Pool Road, Denison, TX 75020. The listed phone number is (903) 465-3624.

What is Mukesh Sheth's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Mukesh Sheth enrolled in Medicare?

Yes. Mukesh Sheth 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 Mukesh Sheth accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Medica, Mending Health and UnitedHealthcare list Mukesh Sheth 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 Mukesh Sheth affiliated with any hospitals?

According to CMS data, Mukesh Sheth is affiliated with Alliancehealth Durant, Choctaw Nation Health Services Authority, Texoma Medical Center, Wilson N Jones Regional Medical Center and Tmc- Bonham Hospital.

When was this NPI record last updated?

The NPPES record for Mukesh Sheth was last updated on October 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.