1. Home
  2. Directory
  3. Texas
  4. Plano
  5. Family Medicine
  6. NPI Profile

SHUMAILA ATHAR M.D.
NPI 1174813380
Family Medicine in Plano, TX

Active since April 10, 2011PECOS Enrolled
4001 W 15TH ST STE 245, PLANO, TX 75093(972) 596-5222(972) 596-5291 Get Directions Write a Review

NPPES record last updated: June 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 8, 2023, Jan 9, 2019 (2 updates tracked since 2019).

About Shumaila Athar M.d. NPPES

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

SHUMAILA ATHAR M.D. (NPI 1174813380) is an individual family medicine provider in Plano, Texas, licensed in Texas (P8844) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174813380
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHUMAILA ATHARCredential: M.D.
Location Address4001 W 15TH ST STE 245Plano, TX 75093-5839
Mailing Address4001 W 15th St Ste 245Plano, TX 75093-5839 · (972) 596-5222
Phone(972) 596-5222
Fax(972) 596-5291
Sole ProprietorNo
Enumeration DateApril 10, 2011
Last NPPES UpdateJune 8, 20232 updates tracked since enumeration
NPPES CertifiedJune 8, 2023
✔ NPI 1174813380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · P8844
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4001 W 15TH ST STE 245, Plano, TX 75093
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shumaila Athar M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75093 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

NOEL TRUONG PEARSON NP
Nurse Practitioner (Family)
4001 W 15TH ST STE 245
PLANO, TX 75093
Collin County (972) 596-5222
DR. NEEPA RAJNIKANT SHAH MD
Internal Medicine
4001 W 15TH ST STE 245
PLANO, TX 75093
Collin County (972) 596-5222
DR. ROBERT HARDING STRECK M.D.
Internal Medicine
4001 W 15TH ST STE 245
PLANO, TX 75093
Collin County (972) 596-5222
LISA MICHELE CAMPBELL FNP
Nurse Practitioner (Family)
4001 W 15TH ST STE 245
PLANO, TX 75093
Collin County (972) 596-5222
BRITTANY DAWN EPSTEIN P.A.-C.
Physician Assistant (Medical)
4001 W 15TH ST STE 245
PLANO, TX 75093
Collin County (972) 596-5222
PAULINA THANAWALA D.O.
Family Medicine
4001 W 15TH ST STE 245
PLANO, TX 75093
Collin County (972) 596-5222

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 Shumaila Athar's NPI number?

The NPI number for Shumaila Athar is 1174813380. It was assigned to this individual provider in the NPPES registry on April 10, 2011.

Where is Shumaila Athar located?

Shumaila Athar practices at 4001 W 15th St Ste 245, Plano, TX 75093. The listed phone number is (972) 596-5222.

What is Shumaila Athar's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Shumaila Athar enrolled in Medicare?

Yes. Shumaila Athar is registered in the Medicare PECOS enrollment system.

What insurance does Shumaila Athar accept?

Health plans from Molina Healthcare list Shumaila Athar 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.

When was this NPI record last updated?

The NPPES record for Shumaila Athar was last updated on June 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.