KOUSHIK K. SHAW MD
NPI 1811954423
Urology in Austin, TX

Q: What is Koushik Shaw's NPI number?

The NPI number for Koushik Shaw is 1811954423. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Q: What is Koushik Shaw's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Koushik Shaw was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since April 27, 2006PECOS EnrolledAccepts Medicare Assignment

84.31/100

CMS Quality Rating

12319 N MOPAC EXPY, SUITE 200, AUSTIN, TX 78758(512) 694-8888(512) 973-3036 Get Directions Write a Review

NPPES record last updated: June 12, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Koushik K. Shaw Md NPPES

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

KOUSHIK K. SHAW MD (NPI 1811954423) is an individual urology provider in Austin, Texas, licensed in Texas (M0272) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with St David's Medical Center, and is a graduate of Tulane University School Of Medicine (2004).

NPPES Registry Identity

NPI1811954423

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameKOUSHIK K. SHAWCredential: MD

Location Address12319 N MOPAC EXPY, SUITE 200Austin, TX 78758-2414

Mailing Address12319 N Mopac Expy, Suite 200Austin, TX 78758-2414 · (512) 694-8888 · Fax (512) 973-3036

Phone(512) 694-8888

Fax(512) 973-3036

Sole ProprietorYes

Medical School CMSTulane University School Of MedicineGraduated 2004

Enumeration DateApril 27, 2006

Last NPPES UpdateJune 12, 2013

✔ NPI 1811954423 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

License✔ Licensed in TX · M0272

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

12319 N MOPAC EXPY, Austin, TX 78758

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Other Identifiers 4

Medicare UPINI21421TX

Medicaid170313401TX

OtherP00196306TX · Rrmcr

Medicare PIN8C8756TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., UnitedHealthcare.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

Koushik K. Shaw 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 ID8628033230

PECOS Enrollment IDI20041123000574

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 21

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, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

1,300 services13 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.

789 services379 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.

295 services212 patients

Ultrasound measurement of bladder capacity after voiding 51798

Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.

272 services173 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

237 services175 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.

161 services161 patients

Diagnostic exam of bladder and urethra using an endoscope 52000

This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.

107 services104 patients

Ultrasound scan of pelvic region through rectum 76872

An ultrasound scan of the pelvic region through the rectum is a medical procedure where a small, smooth device is gently inserted into the rectum. This device uses sound waves to create images of the internal structures in the lower abdomen, aiding in diagnosis and treatment planning.

57 services55 patients

Simple bladder irrigation and/or instillation 51700

Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.

33 services27 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

31 services25 patients

Other procedure on male genital system 55899

This procedure refers to a variety of medical interventions on the male reproductive system. It could be diagnostic, therapeutic, or preventive. It's done to maintain or improve reproductive health. It's always performed by a skilled medical professional.

28 services23 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.

28 services28 patients

Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope 52310

This is a procedure to remove an object, stone, or tube from your urinary tract. An endoscope, a thin, flexible tube with a light and camera, is used to locate and remove the object. It is a safe and effective way to address the issue.

24 services23 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

22 services19 patients

Waterjet destruction of prostrate accessed through the urethra 0421T

Waterjet destruction of the prostate is a procedure where a thin tube is inserted through your urinary passage to reach the prostate. A stream of water is then used to remove excess tissue blocking urine flow.

20 services20 patients

Insertion of stent in ureter using an endoscope 52332

This procedure involves placing a small, flexible tube (stent) in your body's drainage system to help urine flow from the kidneys to the bladder. An endoscope, a thin tube with a light and camera, is used for precise placement.

18 services15 patients

Crushing of stone of ureter with insertion of stent using an endoscope 52356

This procedure involves using a thin, flexible tube (endoscope) to locate and break down kidney stones in the ureter. After this, a small tube (stent) is inserted to help maintain an open pathway for urine to flow.

16 services13 patients

Biopsy of prostate gland 55700

A biopsy of the prostate gland is a procedure where a small sample of tissue is taken from your body's internal gland, located near the bladder, for testing. This helps in diagnosing potential health issues. It's usually done with a fine needle and imaging technology for accuracy.

16 services15 patients

Ultrasonic guidance for needle placement 76942

Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.

16 services15 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

13 services13 patients

Insertion of sacral nerve neurostimulator electrode array 64561

The insertion of a sacral nerve neurostimulator electrode array is a procedure where a small device is placed under your skin. This device sends mild electrical pulses to your sacral nerves, which can help manage certain body functions and alleviate symptoms.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

St David's Medical Center

Acute Care Hospitals · Austin, TX

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450431

Location919 E 32nd StAustin, TX 78705 · Travis County

Emergency services Birthing friendly

Round Rock Medical Center

Acute Care Hospitals · Round Rock, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450718

Location2400 Round Rock AveRound Rock, TX 78681 · Williamson County

Emergency services Birthing friendly

North Austin Medical Center

Acute Care Hospitals · Austin, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450809

Location12221 Mopac Expressway NorthAustin, TX 78758 · Travis County

Emergency services Birthing friendly

The Hospital At Westlake Medical Center

Acute Care Hospitals · Austin, TX

OwnershipPhysician

CMS Certification Number670006

Location5656 Bee Caves Road, Suite M-302Austin, TX 78746 · Travis County

Emergency services

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670034

Location300 University BlvdRound Rock, TX 78664 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78758 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

$131.95 typical visit price

range $57.88 – $174.00

Typical copayment $32.98 (range $14.47 – $43.50)

Most-billed visit code 99204

Established Patient

$71.95 typical visit price

range $18.88 – $142.23

Typical copayment $17.98 (range $4.72 – $35.55)

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.

84.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

47.71

Promoting Interoperability

100

Improvement Activities

Cost

100

Reported Quality Measures

Advance Care Plan

34%1,003 patients2/55-star benchmark: 100%

Closing the Referral Loop: Receipt of Specialist Report

21%180 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

0%55 patients1/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

71%35 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

86%7,871 patients4/55-star benchmark: 100%

e-Prescribing

87%987 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

23%3,594 patients1/55-star benchmark: 98%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 25% · 2,062 patients

Patients screened: 28% · 2,062 patients

9%56 patients1/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

96%2,586 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

69%119 patients3/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,016 patients

Patients totalRate: 4% · 1,016 patients

3%1,016 patients4/55-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.

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.

Urinary catheter anchoring device, leg strap, each A4334

DME-Orthotic Devices · category DF000N

1 supplier14 claims14 services$4.75 avg. paid by Medicare

Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338

DME-Orthotic Devices · category DF000N

1 supplier20 claims20 services$11.84 avg. paid by Medicare

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351

DME-Orthotic Devices · category DF008N

2 suppliers14 claims1,590 services$1.64 avg. paid by Medicare

Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each A4357

DME-Orthotic Devices · category DF000N

1 supplier14 claims17 services$7.97 avg. paid by Medicare

Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358

DME-Orthotic Devices · category DF000N

1 supplier15 claims16 services$5.44 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.

MICHAEL C MILTION BASYE FNP-C

Nurse Practitioner (Family)

12319 N MOPAC EXPY
AUSTIN, TX 78758

Travis County (512) 881-1936

CAROLINE BACH

Physician Assistant

12319 N MOPAC EXPY
AUSTIN, TX 78758

Travis County (512) 973-8276

PREFERRED SPINE AND PAIN PLLC

Anesthesiology (Pain Medicine)

12319 N MOPAC EXPY, SUITE 350
AUSTIN, TX 78758

Travis County (512) 255-7246

DR. ADAM JOSEPH MAMELAK M.D.

Dermatology

12319 N MOPAC EXPY, BLDG. C, STE. 100
AUSTIN, TX 78758

Travis County (512) 837-3376

GEORGE LEOR SHASHOUA MD

Obstetrics & Gynecology (Urogynecology and Reconstructive Pelvic Surgery)

12319 N MOPAC EXPY, SUITE 200
AUSTIN, TX 78758

Travis County (512) 973-8276

DR. KAYLENE BALL AU.D., CCC-A

Audiologist

12319 N MOPAC EXPY, BUILDING C #300
AUSTIN, TX 78758

Travis County (512) 454-0341

MR. BALRAM JONATHAN SHARMA MD

Internal Medicine

12319 N MOPAC EXPY
AUSTIN, TX 78758

Travis County (512) 835-5577

TERESA R KROEKER MD PA

Surgery

12319 N MOPAC EXPY, 260
AUSTIN, TX 78758

Travis County (512) 491-0017

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 Koushik Shaw's NPI number?

The NPI number for Koushik Shaw is 1811954423. It was assigned to this individual provider in the NPPES registry on April 27, 2006.

Where is Koushik Shaw located?

Koushik Shaw practices at 12319 N Mopac Expy Suite 200, Austin, TX 78758. The listed phone number is (512) 694-8888.

What is Koushik Shaw's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Koushik Shaw enrolled in Medicare?

Yes. Koushik Shaw 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 Koushik Shaw accept?

Health plans from Moda Health Plan, Inc. and UnitedHealthcare list Koushik Shaw 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 Koushik Shaw affiliated with any hospitals?

According to CMS data, Koushik Shaw is affiliated with St David's Medical Center, Round Rock Medical Center, North Austin Medical Center, The Hospital At Westlake Medical Center and Baylor Scott & White Medical Center - Round Rock.

When was this NPI record last updated?

The NPPES record for Koushik Shaw was last updated on June 12, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.