CHAITANYA B SHAH M.D.
NPI 1952391161
Internal Medicine - Cardiovascular Disease in Houston, TX

Active since October 27, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
11307 FM 1960 RD W, STE. #125, HOUSTON, TX 77065(281) 894-4327(281) 894-4360 Get Directions Write a Review

NPPES record last updated: June 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Chaitanya B Shah M.d. NPPES

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

CHAITANYA B SHAH M.D. (NPI 1952391161) is an individual cardiovascular disease provider in Houston, Texas, licensed in Texas (M8332) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1952391161
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameCHAITANYA B SHAHCredential: M.D.
Location Address11307 FM 1960 RD W, STE. #125Houston, TX 77065-3687
Mailing Address11307 Fm 1960 Rd W, Ste. #125Houston, TX 77065-3687 · (281) 894-4327 · Fax (281) 894-4360
Fax(281) 894-4360
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateOctober 27, 2005
Last NPPES UpdateJune 24, 2022
NPPES CertifiedJune 24, 2022
NPI 1952391161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in TX · M8332
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License M8332 (TX)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License M8332 (TX)
11307 FM 1960 RD W, Houston, TX 77065

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

Chaitanya B Shah 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 ID3678548062
PECOS Enrollment IDI20080428000075
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 27

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.
757 services100 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.
667 services296 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
295 services242 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
250 services198 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
236 services28 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.
174 services54 patients

Hospital Affiliations CMS Care Compare 3

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

Hca Houston Healthcare Kingwood

Acute Care Hospitals · Kingwood, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450775
Location22999 Us Hwy 59Kingwood, TX 77325 · Harris County
Emergency services Birthing friendly

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 77065 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
$72.62 typical visit price
range $18.60 – $143.93
Typical copayment $18.15 (range $4.65 – $35.98)
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

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%362 patients5/55-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

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 suppliers12 claims67 services$1.65 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 15

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

Orthopaedic Surgery
11307 FM 1960 RD W, SUITE 110
HOUSTON, TX 77065
Audiologist
11307 FM 1960 RD W, STE 260
HOUSTON, TX 77065
Clinic/Center (Medical Specialty)
11307 FM 1960 RD W, SUITE 125
HOUSTON, TX 77065
Internal Medicine (Hematology & Oncology)
11307 FM 1960 RD W, 330
HOUSTON, TX 77065
Clinic/Center (Sleep Disorder Diagnostic)
11307 FM 1960 RD W, SUITE 150-B
HOUSTON, TX 77065
Occupational Therapist
11307 FM 1960 RD W, STE 270
HOUSTON, TX 77065
Family Medicine
11307 FM 1960 RD W, SUITE 350
HOUSTON, TX 77065
Obstetrics & Gynecology
11307 FM 1960 RD W
HOUSTON, TX 77065

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 Chaitanya Shah's NPI number?

The NPI number for Chaitanya Shah is 1952391161. It was assigned to this individual provider in the NPPES registry on October 27, 2005.

Where is Chaitanya Shah located?

Chaitanya Shah practices at 11307 Fm 1960 Rd W Ste. #125, Houston, TX 77065. The listed phone number is (281) 894-4327.

What is Chaitanya Shah's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Chaitanya Shah enrolled in Medicare?

Yes. Chaitanya 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 Chaitanya Shah accept?

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

According to CMS data, Chaitanya Shah is affiliated with Memorial Hermann - Texas Medical Center, Hca Houston Healthcare Kingwood and Houston Methodist Willowbrook Hospital.

When was this NPI record last updated?

The NPPES record for Chaitanya Shah was last updated on June 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.