SANJEEV JATIN SHAH
NPI 1811316391
Otolaryngology in Sugar Land, TX

Active since April 10, 2014PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
16545 SOUTHWEST FWY STE 100, SUGAR LAND, TX 77479(281) 649-7200(281) 491-6704 Get Directions Write a Review

NPPES record last updated: October 21, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 21, 2019, Sep 4, 2019 (2 updates tracked since 2019).

About Sanjeev Jatin Shah NPPES

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

SANJEEV JATIN SHAH (NPI 1811316391) is an individual otolaryngology provider in Sugar Land, Texas, licensed in Texas (S1264) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Sugarland Hospital, and maintains a secondary practice location in Sugar Land.

NPPES Registry Identity

NPI1811316391
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameSANJEEV JATIN SHAH
Location Address16545 SOUTHWEST FWY STE 100Sugar Land, TX 77479
Mailing Address14140 Southwest Fwy Ste 200Sugar Land, TX 77478-3842 · (281) 649-7000 · Fax (281) 240-0030
Fax(281) 491-6704
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 10, 2014
Last NPPES UpdateOctober 21, 20192 updates tracked since enumeration
NPI 1811316391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in TX · S1264
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
16545 SOUTHWEST FWY STE 100, Sugar Land, TX 77479

Secondary Practice Location 1

Location 116545 Southwest Fwy Ste 100Sugar Land, TX 77479 · Phone (281) 649-7200 · Fax (281) 491-6704

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

Sanjeev Jatin Shah 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 ID3779817440
PECOS Enrollment IDI20190701000019
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 19

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.
397 services293 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
306 services234 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.
247 services201 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.
180 services180 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
130 services130 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
110 services96 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 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

Sugar Land Surgical Hospital LLP

Acute Care Hospitals · Sugar Land, TX
OwnershipPhysician
CMS Certification Number450860
Location16906 Southwest FreewaySugar Land, TX 77479 · Fort Bend County
Emergency services

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
$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
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 2

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

Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers17 claims81 services$1.84 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers16 claims16 services$31.11 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 9

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

Audiologist
16545 SOUTHWEST FWY STE 100
SUGAR LAND, TX 77479
Otolaryngology
16545 SOUTHWEST FWY STE 100
SUGAR LAND, TX 77479
Allergy & Immunology
16545 SOUTHWEST FWY STE 100
SUGAR LAND, TX 77479
Audiologist
16545 SOUTHWEST FWY STE 100
SUGAR LAND, TX 77479
Audiologist
16545 SOUTHWEST FWY STE 100
SUGAR LAND, TX 77479
Audiologist
16545 SOUTHWEST FWY STE 100
SUGAR LAND, TX 77479
Audiologist
16545 SOUTHWEST FWY STE 100
SUGAR LAND, TX 77479
Otolaryngology
16545 SOUTHWEST FWY STE 100
SUGAR LAND, TX 77479

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 Sanjeev Shah's NPI number?

The NPI number for Sanjeev Shah is 1811316391. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Sanjeev Shah located?

Sanjeev Shah practices at 16545 Southwest Fwy Ste 100, Sugar Land, TX 77479. The listed phone number is (281) 649-7200.

What is Sanjeev Shah's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Sanjeev Shah enrolled in Medicare?

Yes. Sanjeev 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.

What insurance does Sanjeev Shah accept?

Health plans from Blue Cross and Blue Shield of Texas and Community Health Choice list Sanjeev 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 Sanjeev Shah affiliated with any hospitals?

According to CMS data, Sanjeev Shah is affiliated with Houston Methodist Sugarland Hospital and Sugar Land Surgical Hospital LLP.

When was this NPI record last updated?

The NPPES record for Sanjeev Shah was last updated on October 21, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.