Active NPI 1003921495 Individual Practitioner Male Practitioner

Dr. Sheldon Chen , MD

Internal Medicine - Nephrology • Houston, TX

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Sheldon Chen, MD is a certified Internal Medicine - Nephrology practicing in Houston, TX. With approximately 32 years of clinical experience since graduating from Baylor College Of Medicine in 1994, Dr. Chen delivers high-quality medical care to the local community at 1515 HOLCOMBE BLVD.

Dr. Chen is affiliated with Physicians Referral Service and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, hemodialysis procedure with physician evaluation. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1515 Holcombe Blvd

Houston, TX 770304009

Telephone 7137926161

Associated Practice Facility / Clinic

🏢 University Of Texas M. D. Anderson Cancer Center Facility NPI 1174582050

Medicare Profile & Education

Medical School

Baylor College Of Medicine

Graduation Year

1994

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Nephrology in Houston, TX

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

32 Yrs +5.3 yrs vs City Avg

City Avg: 26.7 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

224 Specialists

Practicing in Houston, TX (1192 Statewide)

Telehealth Adoption Rate

33.9% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

78.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Chen (32 Years) 32 Yrs

Houston Specialty Average (26.7 Years) 26.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	530	189	$297.01	$116.75
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	144	139	$688.46	$168.91
90935 Hemodialysis procedure with physician evaluation	74	32	$665.68	$70.18
90945 Dialysis procedure including 1 evaluation	74	23	$706.08	$84.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	39	30	$231.26	$78.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	27	$563.86	$181.31
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$768.67	$133.86
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$770.92	$168.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$172.62	$49.77
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$519.00	$120.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	495	202	$287.61	$119.76
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	126	124	$633.86	$174.87
90935 Hemodialysis procedure with physician evaluation	67	32	$639.93	$72.32
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	65	52	$534.14	$145.14
90945 Dialysis procedure including 1 evaluation	64	19	$679.00	$86.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$753.70	$133.09
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	12	$230.73	$80.24
99443 Telephone medical discussion with physician, 21-30 minutes	14	12	$263.43	$98.05
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$537.08	$132.11

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	372	135	$283.00	$103.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	96	94	$626.81	$195.17
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	64	$515.57	$147.41
90935 Hemodialysis procedure with physician evaluation	41	23	$609.66	$74.56
99443 Telephone medical discussion with physician, 21-30 minutes	40	34	$253.47	$101.05
90945 Dialysis procedure including 1 evaluation	40	16	$661.30	$88.50
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	34	34	$544.03	$189.03
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	17	$161.29	$39.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$251.69	$101.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	510	203	$283.00	$104.86
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	147	146	$599.86	$205.24
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	89	60	$495.47	$148.86
90945 Dialysis procedure including 1 evaluation	69	29	$630.10	$89.12
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	45	45	$536.18	$191.06
99443 Telephone medical discussion with physician, 21-30 minutes	44	39	$244.25	$103.29
90935 Hemodialysis procedure with physician evaluation	39	26	$593.62	$73.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	39	30	$153.54	$39.35
99441 Telephone medical discussion with physician, 5-10 minutes	14	14	$114.43	$37.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	477	200	$283.00	$107.01
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	137	131	$538.17	$207.18
90945 Dialysis procedure including 1 evaluation	79	35	$611.91	$89.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	73	60	$474.79	$115.54
90935 Hemodialysis procedure with physician evaluation	44	24	$530.30	$76.33
99443 Telephone medical discussion with physician, 21-30 minutes	38	37	$237.97	$82.21
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	29	29	$561.66	$175.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	26	25	$146.46	$40.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	474	189	$283.00	$106.31
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	147	144	$494.43	$207.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	111	73	$460.76	$113.50
90945 Dialysis procedure including 1 evaluation	95	38	$603.00	$88.16
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	55	55	$483.64	$172.84
90935 Hemodialysis procedure with physician evaluation	48	26	$596.88	$75.42
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	27	$141.86	$40.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	328	140	$283.00	$104.58
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	117	70	$456.00	$112.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	108	100	$473.88	$204.11
90945 Dialysis procedure including 1 evaluation	74	28	$603.00	$86.96
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	58	58	$479.00	$170.02
90935 Hemodialysis procedure with physician evaluation	45	25	$640.00	$74.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	338	121	$283.00	$103.41
90935 Hemodialysis procedure with physician evaluation	129	47	$640.00	$71.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	98	57	$456.00	$110.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	95	91	$446.12	$197.75
90945 Dialysis procedure including 1 evaluation	66	25	$603.00	$85.25
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	59	59	$479.00	$168.38
99231 Follow-up hospital inpatient care per day, typically 15 minutes	17	16	$141.00	$39.08

Medical Specialties & State Licenses

Internal Medicine - Nephrology Primary Specialty

NUCC Taxonomy Code: 207RN0300X

State License TX Q1964

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Internal Medicine - Nephrology

NUCC Taxonomy Code: 207RN0300X

State License IL 036-113589

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

341192801 (TX)

Commercial Insurance / Payer ID Bcbs

8EW007 (TX)

Hospital & Practice Group Affiliations

Physicians Referral Service

2130 W Holcombe Blvd, Houston, TX 770304009

Phone: 7135925433

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Merry Chen , MD

Psychiatry & Neurology - Neurology

NPI 1003022013

Doctor of Medicine (M.D.)

Dr. Ameena Malhotra , MD

Internal Medicine - Nephrology

NPI 1003046822

Doctor of Medicine (M.D.)

Dr. Bryan Guillory , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1003102674

Doctor of Medicine (M.D.)

Dr. January Tsai , MD

Anesthesiology

NPI 1003121237

Doctor of Medicine (M.D.)

Dr. Sunyoung Lee , MD

Internal Medicine - Medical Oncology

NPI 1003159054

Doctor of Medicine (M.D.)

Rachel Futrell , PA-C

Physician Assistant

NPI 1003193350

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active February 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location February 27, 2015

Registered at 1515 HOLCOMBE BLVD, HOUSTON, TX 770304009 (Tel: 7137926161)

📍

Updated Business Mailing Address February 27, 2015

Registered at PO BOX 4439, HOUSTON, TX 772104439 (Tel: 7137922991)

👤

Provider Name / Credentials Updated February 27, 2015

Recorded as SHELDON CHEN, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 27, 2015

Internal Medicine (License #Q1964 in TX)

🟢

Initial NPI Registration & Enumeration August 19, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1003921495

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 19, 2006

Last Update: February 27, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4439

Houston, TX 772104439

Phone: 7137922991

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.