Dr. Helen Shpats
- Gender: Female
- Experience: 22 years
- Graduated from: University Of Texas Medical School At Houston
- Graduation year: 1999
- Sole propriator: No
- NPI: 1144278813
Dr. Helen Shpats MD
General Practitioner
She is located at 1708 Elmen Street in Houston, TX 77019. Her National Provider Identifier (NPI) number is 1144278813. Appointment can be made via the phone number (281) 543-9458.
ACA Marketplace (Obamacare/HealthCare.gov) plan networks
Insurers selling ACA Marketplace (HealthCare.gov) plans list Dr. Helen Shpats as in-network for the following 2026 plans.
Health plans
Ambetter from Superior HealthPlan
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 6 plans from Ambetter from Superior HealthPlan
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Complete VALUE Gold (3 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Focused VALUE Silver (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Focused VALUE Silver + Vision + Adult Dental (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Standard Gold VALUE (3 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Standard Silver VALUE (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Standard Silver VALUE + Vision + Adult Dental (3 plan variants) | HMO · Silver | Preferred | Accepting new patients |
Community Health Choice
Network data as of Jan 28, 2026, as reported by the insurer.
Show all 12 plans from Community Health Choice
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Community Premier Bronze 003 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Community Premier Bronze 003 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Non Preferred | Accepting new patients |
| Community Premier Bronze 018 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Expanded Bronze | Preferred | Accepting new patients |
| Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Non Preferred | Accepting new patients |
| Community Premier Gold 005 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Preferred | Accepting new patients |
| Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Non Preferred | Accepting new patients |
| Community Premier Gold 021 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Gold | Preferred | Accepting new patients |
| Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Non Preferred | Accepting new patients |
| Community Premier Silver 012 (No deductible for PCP, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Preferred | Accepting new patients |
| Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Non Preferred | Accepting new patients |
| Community Premier Silver 020 (No deductible for PCP, Specialist, Urgent Care & Generics, $0 PCP 24/7 Virtual Care Options) | HMO · Silver | Preferred | Accepting new patients |
Oscar Insurance Company
Network data as of Sep 15, 2026, as reported by the insurer.
Show all 11 plans from Oscar Insurance Company
| Plan | Plan type | Network tier | New patients |
|---|---|---|---|
| Gold Classic Guided Care (8 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Gold Classic Standard Guided Care (8 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Gold Simple Diabetes Guided Care (8 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Gold Simple Guided Care (8 plan variants) | HMO · Gold | Preferred | Accepting new patients |
| Silver Classic Standard Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Breathe Easy with Enhanced COPD Benefits Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Chronic Care CKM Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Diabetes Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple PCP Saver Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
| Silver Simple Women's Health with Menopause Benefits Guided Care (8 plan variants) | HMO · Silver | Preferred | Accepting new patients |
This covers ACA Marketplace plans only, as reported by each insurer. It does not include employer, Medicare Advantage, or state-run exchange plans, and a plan missing from this list does not mean Dr. Helen Shpats is out of network. Insurer directories can be out of date, so always confirm with the insurer and the office before your visit.
Medicare Enrollment
Dr. Helen Shpats is enrolled to bill Medicare as a Practitioner - General Practice .
Bills through: Rodom Medical Consulting Pa
Based on Medicare's public enrollment records as of Jul 17, 2026. This reflects Medicare fee-for-service enrollment only and says nothing about other insurance, quality, outcomes, or board certification.
Payments received
Drug payment
| Takeda | $121 |
Other
| Food and Beverage | $122 |
Studies
UNIVERSITY OF TEXAS MEDICAL SCHOOL AT HOUSTON
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Questions & Answers
Does Dr. Helen Shpats accept insurance?
Dr. Helen Shpats is listed in-network for 29 ACA Marketplace (Obamacare/HealthCare.gov) plans from Ambetter from Superior HealthPlan, Community Health Choice, Oscar Insurance Company. See the Marketplace plans section for details.
Where can you meet with Dr. Helen Shpats?
Dr. Helen Shpats's office is located at 1708 Elmen Street in Houston, TX 77019.