SHAHID ALI MD
NPI 1881604460
Internal Medicine - Gastroenterology in Houston, TX

Q: What is Shahid Ali's NPI number?

The NPI number for Shahid Ali is 1881604460. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Q: What is Shahid Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Shahid Ali was last updated on January 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 08, 2006PECOS EnrolledAccepts Medicare Assignment

79.87/100

CMS Quality Rating

444 FM 1959 RD, HOUSTON, TX 77034(281) 481-9400(281) 481-9490 Get Directions Write a Review

NPPES record last updated: January 19, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Shahid Ali Md NPPES

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

SHAHID ALI MD (NPI 1881604460) is an individual gastroenterology provider in Houston, Texas, licensed in Texas (P6568) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Hca Houston Healthcare Southeast, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1881604460

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameSHAHID ALICredential: MD

Location Address444 FM 1959 RDHouston, TX 77034-5416

Mailing Address4322 Village Corner DrHouston, TX 77059-4024 · (607) 425-7890

Phone(281) 481-9400

Fax(281) 481-9490

Sole ProprietorNo

Medical School CMSOtherGraduated 1994

Enumeration DateAugust 8, 2006

Last NPPES UpdateJanuary 19, 2017

✔ NPI 1881604460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in TX · P6568

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

444 FM 1959 RD, Houston, TX 77034

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Other Identifiers 1

Medicare UPINI14114

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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

Shahid Ali 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 ID1052387727

PECOS Enrollment IDI20160502000606

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 15

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.

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.

495 services166 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

93 services89 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

87 services82 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.

80 services58 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.

71 services48 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

38 services15 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

36 services35 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

35 services34 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

25 services12 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.

23 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.

19 services19 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.

18 services18 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.

18 services18 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

16 services16 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

15 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Houston Healthcare Southeast

Acute Care Hospitals · Pasadena, TX

4/5 CMS rating

OwnershipProprietary

CMS Certification Number450097

Location4000 Spencer HwyPasadena, TX 77504 · Harris County

Emergency services Birthing friendly

Memorial Hermann Hospital System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number450184

Location1635 North Loop WestHouston, TX 77008 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77034 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

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.

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.

79.87/100

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

Scored as part of a group practice

Quality

68.55

Promoting Interoperability

100

Improvement Activities

Cost

64.36

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Other Providers at the Same Location NPPES 15

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

SVETANG VIJAY DESAI M.D.

Internal Medicine (Gastroenterology)

444 FM 1959 RD, SUITE A
HOUSTON, TX 77034

Harris County (281) 481-9400

DR. JIGNESH PRAVIN SHAH MD

Internal Medicine (Gastroenterology)

444 FM 1959 RD, SUITE A
HOUSTON, TX 77034

Harris County (281) 481-9400

DR. MICHEL IBRAHIM KAFROUNI M.D.

Internal Medicine (Gastroenterology)

444 FM 1959 RD
HOUSTON, TX 77034

Harris County (281) 481-9400

DR. SURESH K RAJENDRAN MD, FACP, FACG

Internal Medicine (Gastroenterology)

444 FM 1959 RD, STE A
HOUSTON, TX 77034

Harris County (281) 481-9400

GASTROENTEROLOGY CONSULTANTS, PLLC

Internal Medicine (Gastroenterology)

444 FM 1959 RD, STE A
HOUSTON, TX 77034

Harris County (281) 481-9400

GULF COAST ANESTHESIA, PLLC

Nurse Anesthetist, Certified Registered

444 FM 1959 RD
HOUSTON, TX 77034

Harris County (281) 481-9400

MEMORIAL HERMANN BAY AREA ENDOSCOPY CENTER, LLC

Clinic/Center (Ambulatory Surgical)

444 FM 1959 RD, STE B
HOUSTON, TX 77034

Harris County (281) 892-2420

DR. DANIEL H DARMADI MD

Internal Medicine (Gastroenterology)

444 FM 1959 RD, STE A
HOUSTON, TX 77034

Harris County (281) 481-9400

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 Shahid Ali's NPI number?

The NPI number for Shahid Ali is 1881604460. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Shahid Ali located?

Shahid Ali practices at 444 Fm 1959 Rd, Houston, TX 77034. The listed phone number is (281) 481-9400.

What is Shahid Ali's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shahid Ali enrolled in Medicare?

Yes. Shahid Ali 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 Shahid Ali accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 5 other insurers list Shahid Ali 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 Shahid Ali affiliated with any hospitals?

According to CMS data, Shahid Ali is affiliated with Hca Houston Healthcare Southeast and Memorial Hermann Hospital System.

When was this NPI record last updated?

The NPPES record for Shahid Ali was last updated on January 19, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.