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MONA NIRAJ SHETH MD
NPI 1790816791
Family Medicine in Sugar Land, TX

Active since March 08, 2007PECOS EnrolledAccepts Medicare Assignment
16651 SOUTHWEST FWY, SUITE 450, SUGAR LAND, TX 77479(281) 275-0800(281) 275-0801 Get Directions Write a Review

NPPES record last updated: June 12, 2014. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Mona Niraj Sheth Md NPPES

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

MONA NIRAJ SHETH MD (NPI 1790816791) is an individual family medicine provider in Sugar Land, Texas, licensed in Texas (L9480) and active in the NPI registry since March 2007. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and is a graduate of University Of Texas Medical School At San Antonio (2001).

NPPES Registry Identity

NPI1790816791
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMONA NIRAJ SHETHCredential: MD
Location Address16651 SOUTHWEST FWY, SUITE 450Sugar Land, TX 77479-2345
Mailing Address16651 Southwest Fwy, Suite 450Sugar Land, TX 77479-2345 · (281) 275-0800 · Fax (281) 275-0801
Phone(281) 275-0800
Fax(281) 275-0801
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical School At San AntonioGraduated 2001
Enumeration DateMarch 8, 2007
Last NPPES UpdateJune 12, 2014
✔ NPI 1790816791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · L9480
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
16651 SOUTHWEST FWY, Sugar Land, TX 77479
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Other Identifiers 9

Medicare PINTXB136193TX
Other1790816791TX · Blue Cross Blue Shield
Other8EF701TX · Blue Cross Blue Shield
Medicare PIN8J3977TX
OtherP01114497TX · Rr Medicare
Medicare UPINI23231TX
Medicaid202763302TX
Medicaid202763303TX
Medicare PIN8L22109TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Molina Healthcare, WellPoint.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

Mona Niraj 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 ID9133177439
PECOS Enrollment IDI20050104000172
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 8

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.
284 services172 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.
144 services95 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
136 services136 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
57 services54 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
57 services54 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77479 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers48 claims109 services$6.22 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers15 claims20 services$1.02 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers13 claims13 services$37.27 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers16 claims89 services$1.51 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers15 claims15 services$26.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. KATHERINE DIASE MD
Obstetrics & Gynecology
16651 SOUTHWEST FWY, SUITE 200
SUGAR LAND, TX 77479
Fort Bend County (713) 774-5131
DR. JOHN REYNOLDS BOON M.D.
Urology
16651 SOUTHWEST FWY, MOB 1 SUITE 310
SUGAR LAND, TX 77479
Fort Bend County (281) 565-1250
DR. LEKA GAJULA MD
Internal Medicine (Gastroenterology)
16651 SOUTHWEST FWY, SUITE 370
SUGAR LAND, TX 77479
Fort Bend County (832) 667-7355
PHYSIOTHERAPY ASSOCIATES INC
Clinic/Center (Physical Therapy)
16651 SOUTHWEST FWY, SUITE 402
SUGAR LAND, TX 77479
Fort Bend County (281) 274-7520
MRS. MADISON HISEY PA
Physician Assistant (Surgical)
16651 SOUTHWEST FWY, SUITE 360
SUGAR LAND, TX 77479
Fort Bend County (281) 491-6200
SUGARLAND NEO PEDS CARE PLLC
Clinic/Center (Primary Care)
16651 SOUTHWEST FWY, SUITE 150
SUGAR LAND, TX 77479
Fort Bend County (281) 980-1020
SLOAN GORDON, DPM, PA
Podiatrist (Foot & Ankle Surgery)
16651 SOUTHWEST FWY, #230
SUGAR LAND, TX 77479
Fort Bend County (713) 988-6600
PATRICIA MITCHELL MD
Obstetrics & Gynecology
16651 SOUTHWEST FWY, SUITE 200
SUGAR LAND, TX 77479
Fort Bend County (713) 774-5131

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 Mona Sheth's NPI number?

The NPI number for Mona Sheth is 1790816791. It was assigned to this individual provider in the NPPES registry on March 8, 2007.

Where is Mona Sheth located?

Mona Sheth practices at 16651 Southwest Fwy Suite 450, Sugar Land, TX 77479. The listed phone number is (281) 275-0800.

What is Mona Sheth's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Mona Sheth enrolled in Medicare?

Yes. Mona 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 Mona Sheth accept?

Health plans from Community Health Choice, Molina Healthcare and WellPoint list Mona 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 Mona Sheth affiliated with any hospitals?

According to CMS data, Mona Sheth is affiliated with Houston Methodist Hospital and Houston Methodist Sugarland Hospital.

When was this NPI record last updated?

The NPPES record for Mona Sheth was last updated on June 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.