NPPES file of Aug 9, 2026

Sheldon Chen, M.D.

Nephrology Physician · Houston, TX

Sheldon Chen, M.D. is a nephrology physician with a practice address in Houston, Texas, and NPI 1003921495, issued on Aug 19, 2006. Check the license (Texas Q1964, as entered in NPPES) on the Texas Medical Board; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1003921495
Name
Sheldon Chen
Credential
M.D.
Primary taxonomy
Nephrology Physician 207RN0300X
License numbers
Q1964 TX
036-113589 IL
Self-reported in NPPES; status is on the state search
Practice location
1515 Holcombe Blvd, Houston, TX 77030
Phone
(713) 792-6161
Enumerated
Aug 19, 2006
Record last updated
Feb 27, 2015 (not updated in 11 years: call before relying on the address or phone)
Medicaid ID
341192801 TX
Medicare enrollment
Enrolled (PECOS I20141118001214); accepts Medicare assignment
Medical or professional school
Baylor College Of Medicine, 1994
Telehealth
Offers telehealth (CMS)
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1515 Holcombe Blvd

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Ashley Aaroe, MDNeurology Physician1902295793
  2. Linda Abad, PA-CPhysician Assistant1063928240
  3. Cynthia Abarado, RN, GNPGerontology Nurse Practitioner1851471049
  4. Hussein Abbas, MD, PHDInternal Medicine Physician1609220532
  5. James Abbruzzese, M.D.Medical Oncology Physician1134233224
  6. Karim Abdeldaem, MDEmergency Medicine Physician1558056200

Verify Sheldon Chen in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersTexas Medical Board
    Search for license Q1964
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Texas license search

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96% fewer Medicare Part D claims than the average nephrology physician in 2024

56 Medicare Part D claims, against an average of 1,465 among the 10,986 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.

  1. Sheldon Chen56
  2. Specialty average1,465

Most prescribed

  1. Allopurinol13 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 81.4 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score81.3
  2. Costout of 100 · 30%50.0
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $361.22

6 payments; by number, the most common kind was food and beverage; the largest payer was Otsuka Pharmaceutical Development & Commercialization, Inc. The 8,230 providers of this specialty with any payment received $3,091.37 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Sheldon Chen$361.22
  2. Specialty average$3,091.37

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Physicians Referral ServiceHouston, TX

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Sheldon Chen among 1,159 nephrology physician records in Texas

Sheldon Chen, M.D. is one of 1,159 nephrology physician records with a practice address in Texas. 89% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.

  • NPI issued2006 · 15% of these records are older, 53% newer
  • In a Medicare fileYes · 89% of these records are
  • In the CMS Doctors and Clinicians fileYes · 82% of these records are
  • Graduated1994 · median 2001 among the 954 with a school on file
  • Record last updated2015 · 47% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207RN0300X and a Texas practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

Nephrology Physician providers in Texas

There are 1,159 nephrology physician records in Texas.

The 8 nephrology physician records with the nearest ZIP codes

  1. Bernardino Abaya, M.D.Houston, TX 770301740262013
  2. Catherine Brown, PA-CHouston, TX 770301841288313
  3. Joey Buquing, M.D.Houston, TX 770301255335279
  4. Joslyn Campbell, MDHouston, TX 770301912909847
  5. Dolon Das, MDHouston, TX 770301619972692
  6. Stevan Dinerstein, M.D.Houston, TX 770301932180791
  7. Stephen Fadem, MDHouston, TX 770301144224163
  8. Juan Gonzalez, MDHouston, TX 770301598767253

Common questions

What is Sheldon Chen, M.D.'s NPI number?

Sheldon Chen, M.D.'s National Provider Identifier (NPI) is 1003921495, issued on Aug 19, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Sheldon Chen, M.D. located?

The NPPES record lists a practice address at 1515 Holcombe Blvd, Houston, TX, 77030. Phone: (713) 792-6161. Providers update this record themselves, so call before visiting.

How can I verify Sheldon Chen, M.D.'s license?

NPPES lists Texas license number Q1964, as entered by the provider. Search the Texas Medical Board at https://profile.tmb.state.tx.us/Search.aspx. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Sheldon Chen, M.D. prescribe under Medicare Part D?

In 2024, Sheldon Chen, M.D. had 56 Medicare Part D claims; the average among nephrology physician prescribers was 1,465. Part D covers Medicare prescriptions only.

What is Sheldon Chen, M.D.'s MIPS final score?

The 2023 MIPS final score is 81.4 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.