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DR. ELAINE A. SHEHATA M.D.
NPI 1912341272
Hospitalist in Houston, TX

Active since April 17, 2013PECOS EnrolledAccepts Medicare Assignment
18220 STATE HIGHWAY 249 STE 490, HOUSTON, TX 77070(281) 737-0587 Get Directions Write a Review

NPPES record last updated: March 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 12, 2020, Jul 14, 2016 (2 updates tracked since 2016).

About Dr. Elaine A. Shehata M.d. NPPES

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

DR. ELAINE A. SHEHATA M.D. (NPI 1912341272) is an individual hospitalist provider in Houston, Texas, licensed in Texas (R9432) and active in the NPI registry since April 2013. She is enrolled in Medicare PECOS, is affiliated with Houston Methodist Willowbrook Hospital, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1912341272
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameDR. ELAINE A. SHEHATACredential: M.D.
Location Address18220 STATE HIGHWAY 249 STE 490Houston, TX 77070-4347
Mailing Address18220 State Highway 249 Ste 490Houston, TX 77070-4347 · (281) 737-0587
Phone(281) 737-0587
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateApril 17, 2013
Last NPPES UpdateMarch 12, 20202 updates tracked since enumeration
NPPES CertifiedMarch 12, 2020
✔ NPI 1912341272 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in TX · R9432
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 0000000 (NC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
18220 STATE HIGHWAY 249 STE 490, Houston, TX 77070
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare.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

Dr. Elaine A. Shehata M.d. 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 ID8224271929
PECOS Enrollment IDI20190510001393
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 3

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 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.
424 services184 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
154 services152 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.
37 services24 patients

Hospital Affiliations CMS Care Compare

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

Houston Methodist Willowbrook Hospital

Acute Care Hospitals · Houston, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450844
Location18220 State Highway 249Houston, TX 77070 · Harris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
85%189 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 4

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

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
3 suppliers25 claims25 services$44.93 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier11 claims11 services$14.54 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers35 claims35 services$74.50 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims24 services$31.18 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 3

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

MYTHRI SHARMA D.O.
Hospitalist
18220 STATE HIGHWAY 249 STE 490
HOUSTON, TX 77070
Harris County (281) 737-0587
SRUTHI PATIBANDLA FITZGERALD MD
Hospitalist
18220 STATE HIGHWAY 249 STE 490
HOUSTON, TX 77070
Harris County (281) 737-0587
HOUSTON METHODIST WILLOWBROOK HOSPITAL
General Acute Care Hospital
18220 STATE HIGHWAY 249 STE 490
HOUSTON, TX 77070
Harris County (281) 737-0948

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 Elaine Shehata's NPI number?

The NPI number for Elaine Shehata is 1912341272. It was assigned to this individual provider in the NPPES registry on April 17, 2013.

Where is Elaine Shehata located?

Elaine Shehata practices at 18220 State Highway 249 Ste 490, Houston, TX 77070. The listed phone number is (281) 737-0587.

What is Elaine Shehata's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Elaine Shehata enrolled in Medicare?

Yes. Elaine Shehata 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 Elaine Shehata accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Elaine Shehata 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 Elaine Shehata affiliated with any hospitals?

According to CMS data, Elaine Shehata is affiliated with Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Elaine Shehata was last updated on March 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.