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SHILPAN SATISH SHAH MD
NPI 1871763417
Internal Medicine - Hematology & Oncology in Houston, TX

Active since March 11, 2008PECOS EnrolledAccepts Medicare Assignment
6445 MAIN STREET, OPC 24, HOUSTON, TX 77030(713) 441-9948 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shilpan Satish Shah Md NPPES

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

SHILPAN SATISH SHAH MD (NPI 1871763417) is an individual hematology & oncology provider in Houston, Texas, licensed in Texas (P4820) and active in the NPI registry since March 2008. He is enrolled in Medicare PECOS, is affiliated with Houston Methodist Hospital, and maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1871763417
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameSHILPAN SATISH SHAHCredential: MD
Location Address6445 MAIN STREET, OPC 24Houston, TX 77030
Mailing Address6445 Main Street, Opc 24Houston, TX 77030 · (713) 441-9948
Phone(713) 441-9948
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 11, 2008
Last NPPES UpdateOctober 3, 2018
✔ NPI 1871763417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in TX · P4820
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License P4820 (TX)
6445 MAIN STREET, Houston, TX 77030
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Secondary Practice Location 1

Location 16431 Fannin St, MSB 5.016Houston, TX 77030-1501 · Phone (713) 500-6774

Other Identifiers 3

Other8EA138TX · Bcbs (mdacc)
Medicaid329066004TX
Medicaid329066001 (MDACC)TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Community Health Choice, Imperial Insurance Companies, Inc., Molina Healthcare and more.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

Shilpan Satish Shah 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 ID6002958592
PECOS Enrollment IDI20140108000172
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 9

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.
272 services83 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.
155 services50 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.
151 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
118 services59 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
37 services31 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.
24 services18 patients

Hospital Affiliations CMS Care Compare 5

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 Clear Lake Hospital

Acute Care Hospitals · Nassau Bay, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450709
Location18300 Houston Methodist DrNassau Bay, TX 77058 · 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

Houston Methodist West Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670077
Location18500 Katy FreewayHouston, TX 77094 · Harris County
Emergency services Birthing friendly

Houston Methodist The Woodlands Hospital

Acute Care Hospitals · The Woodlands, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670122
Location17201 Interstate 45 SouthThe Woodlands, TX 77385 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77030 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
$176.98 typical visit price
range $58.24 – $176.98
Typical copayment $44.24 (range $14.56 – $44.24)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 12

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

JASLEEN KAUR RANDHAWA M.D
Internal Medicine (Hematology & Oncology)
6445 MAIN STREET, OPC24
HOUSTON, TX 77030
Harris County (713) 441-9948
DR. SUDHA KODALI MBBS
Internal Medicine
6445 MAIN STREET, OPC 22
HOUSTON, TX 77030
Harris County (713) 441-4345
JUN ZHANG MD
Internal Medicine (Hematology & Oncology)
6445 MAIN STREET, OPC 24
HOUSTON, TX 77030
Harris County (713) 441-9948
ARLENE SCORSONE
Nurse Practitioner (Acute Care)
6445 MAIN STREET, OPC - 22ND FLR. SUITE 22.001
HOUSTON, TX 77030
Harris County (713) 441-4345
ROBERT S MCFADDEN M.D.
Internal Medicine (Gastroenterology)
6445 MAIN STREET, OPC 22
HOUSTON, TX 77030
Harris County (713) 441-4345
TAMNEET BASRA MD
Internal Medicine (Gastroenterology)
6445 MAIN STREET, OUTPATIENT CENTER, FLOOR 22
HOUSTON, TX 77030
Harris County (713) 441-4345
DR. DAVID W VICTOR III M.D.
Internal Medicine (Transplant Hepatology)
6445 MAIN STREET, OPC 22
HOUSTON, TX 77030
Harris County (137) 441-4345
LONI SAVAGE AGACNP
Nurse Practitioner (Acute Care)
6445 MAIN STREET, OPC 24
HOUSTON, TX 77030
Harris County (713) 441-9948

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 Shilpan Shah's NPI number?

The NPI number for Shilpan Shah is 1871763417. It was assigned to this individual provider in the NPPES registry on March 11, 2008.

Where is Shilpan Shah located?

Shilpan Shah practices at 6445 Main Street Opc 24, Houston, TX 77030. The listed phone number is (713) 441-9948.

What is Shilpan Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Shilpan Shah enrolled in Medicare?

Yes. Shilpan 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 Shilpan Shah accept?

Health plans from Community Health Choice, Imperial Insurance Companies, Inc., Molina Healthcare, Oscar Insurance Company and UnitedHealthcare and 1 other insurer list Shilpan 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 Shilpan Shah affiliated with any hospitals?

According to CMS data, Shilpan Shah is affiliated with Houston Methodist Hospital, Houston Methodist Clear Lake Hospital, Houston Methodist Sugarland Hospital, Houston Methodist West Hospital and Houston Methodist The Woodlands Hospital.

When was this NPI record last updated?

The NPPES record for Shilpan Shah was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.