1. Home
  2. Directory
  3. Texas
  4. Houston
  5. Ophthalmology
  6. NPI Profile

DR. RUCHI D SHAH M.D.
NPI 1972867737
Ophthalmology - Glaucoma Specialist in Houston, TX

Active since June 26, 2012PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
6400 FANNIN ST STE 1800, HOUSTON, TX 77030(713) 486-9400(713) 486-9592 Get Directions Write a Review

NPPES record last updated: January 19, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 19, 2022, May 17, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Dr. Ruchi D Shah M.d. NPPES

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

DR. RUCHI D SHAH M.D. (NPI 1972867737) is an individual glaucoma specialist in Houston, Texas, licensed in Texas (R3957) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (2012).

NPPES Registry Identity

NPI1972867737
Entity TypeIndividualFemale
Primary Taxonomy207WX0009X
Provider Legal NameDR. RUCHI D SHAHCredential: M.D.
Location Address6400 FANNIN ST STE 1800Houston, TX 77030-1526
Mailing Address6400 Fannin St Ste 1800Houston, TX 77030-1526 · (713) 486-9400 · Fax (134) 869-5927
Phone(713) 486-9400
Fax(713) 486-9592
Sole ProprietorNo
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 2012
Enumeration DateJune 26, 2012
Last NPPES UpdateJanuary 19, 20224 updates tracked since enumeration
NPPES CertifiedJanuary 19, 2022
✔ NPI 1972867737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmology · Glaucoma SpecialistAllopathic & Osteopathic Physicians
Taxonomy Code207WX0009X
License✔ Licensed in TX · R3957
Definition
An ophthalmologist who specializes in the treatment of glaucoma and other disorders related to increased intraocular pressure and optic nerve damage. This specialty involves the medical and surgical treatment of these conditions.
Also ListedOphthalmologyTaxonomy 207W00000X · License R3957 (TX)
6400 FANNIN ST STE 1800, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 1

Other760512625TX · Tax Identification Number

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

Dr. Ruchi D 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 ID1658673041
PECOS Enrollment IDI20170831000310
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 6

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 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.
32 services31 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.
31 services28 patients
Imaging of retina 92134
Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.
25 services23 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
22 services22 patients
Imaging of optic nerve 92133
Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).
20 services19 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450289
Location2525 Holly HallHouston, TX 77054 · Harris 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
$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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.64
Promoting Interoperability100
Improvement Activities40
Cost50.93

Other Providers at the Same Location NPPES 18

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

ZHIYONG YANG M.D., PH.D.
Ophthalmology (Retina Specialist)
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (713) 486-9400
LAYLA MICHELLE GHERGHEREHCHI M.D.
Ophthalmology (Pediatric Ophthalmology and Strabismus Specialist)
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (713) 559-5200
DR. JAYSON KALATHIL TOMY OD
Optometrist
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (713) 486-9400
GRACE SEGA CHANG OTD
Occupational Therapist
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (713) 486-8000
ASHLYN ELIZABETH GLANN MD
Ophthalmology
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (713) 486-9400
DR. BHAVANI R. IYER O.D., F.A.A.O.
Optometrist
6400 FANNIN ST STE 1800, UNIVERSITY EYE ASSOCIATES /ROBERT CIZIK EYE CLINIC
HOUSTON, TX 77030
Harris County (713) 559-5200
CHRISTINA CANTU OD
Optometrist
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (713) 486-9400
MS. CARMEN MULLINS OT
Occupational Therapist (Low Vision)
6400 FANNIN ST STE 1800
HOUSTON, TX 77030
Harris County (713) 486-9400

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 Ruchi Shah's NPI number?

The NPI number for Ruchi Shah is 1972867737. It was assigned to this individual provider in the NPPES registry on June 26, 2012.

Where is Ruchi Shah located?

Ruchi Shah practices at 6400 Fannin St Ste 1800, Houston, TX 77030. The listed phone number is (713) 486-9400.

What is Ruchi Shah's specialty?

The primary specialty registered for this NPI is Ophthalmology, specializing in Glaucoma Specialist, with taxonomy code 207WX0009X.

Is Ruchi Shah enrolled in Medicare?

Yes. Ruchi 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 Ruchi Shah 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 Ruchi 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 Ruchi Shah affiliated with any hospitals?

According to CMS data, Ruchi Shah is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Ruchi Shah was last updated on January 19, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.