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SHAHINA SUMAN M.D.
NPI 1295278075
Internal Medicine in Dallas, TX

Active since November 28, 2016PECOS EnrolledAccepts Medicare Assignment
75.27/100
CMS Quality Rating
9229 LYNDON B JOHNSON FWY, DALLAS, TX 75243(682) 236-3656(214) 570-1692 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Shahina Suman M.d. NPPES

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

SHAHINA SUMAN M.D. (NPI 1295278075) is an individual internal medicine provider in Dallas, Texas, licensed in Texas (Q2712) and active in the NPI registry since November 2016. She is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and maintains a secondary practice location in Plano.

NPPES Registry Identity

NPI1295278075
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHAHINA SUMANCredential: M.D.
Location Address9229 LYNDON B JOHNSON FWYDallas, TX 75243-3405
Mailing Address9229 Lyndon B Johnson FwyDallas, TX 75243-3405 · (682) 236-3656 · Fax (214) 570-1692
Phone(682) 236-3656
Fax(214) 570-1692
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateNovember 28, 2016
Last NPPES UpdateMarch 17, 2018
✔ NPI 1295278075 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in TX · Q2712
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
9229 LYNDON B JOHNSON FWY, Dallas, TX 75243
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Secondary Practice Location 1

Location 13904 Woodlawn LnPlano, TX 75025 · Phone (412) 214-8191

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

Shahina Suman 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 ID8325314826
PECOS Enrollment IDI20171028000312
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
755 services233 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
198 services175 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
160 services40 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.
109 services85 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
91 services87 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
48 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Medical Center Of Mckinney

Acute Care Hospitals · Mckinney, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450403
Location4500 Medical Center DriveMckinney, TX 75069 · Collin County
Emergency services Birthing friendly

Medical City Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450651
Location3901 W 15th StPlano, TX 75075 · Collin County
Emergency services Birthing friendly

Texas Health Presbyterian Hospital Allen

Acute Care Hospitals · Allen, TX
4/5 CMS rating
OwnershipGovernment - Federal
CMS Certification Number450840
Location1105 Central Expressway NorthAllen, TX 75013 · Collin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75243 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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.

75.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.07
Promoting Interoperability100
Improvement Activities40
Cost49.5

Referred Medical Equipment & Supplies CMS DME claims 21

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
1 supplier13 claims2,344 services$0.37 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
1 supplier19 claims672 services$7.09 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
1 supplier18 claims2,317 services$0.37 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
5 suppliers19 claims19 services$42.45 avg. paid by Medicare
Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
1 supplier15 claims15 services$3.53 avg. paid by Medicare
Commode chair, mobile or stationary, with fixed arms E0163
DME-Other DME · category DE000N
4 suppliers12 claims12 services$44.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

METROPLEX GERIATRIC ASSOCIATES PA
Family Medicine (Geriatric Medicine)
9229 LYNDON B JOHNSON FWY, SUITE 250
DALLAS, TX 75243
Dallas County (972) 739-3097
METROPLEX GERIATRIC ASSOCIATES PA
Family Medicine (Geriatric Medicine)
9229 LYNDON B JOHNSON FWY, SUITE 250
DALLAS, TX 75243
Dallas County (972) 739-3097
NORTH TEXAS INPATIENT AND GERIATRIC ASSOCIATES PA
Internal Medicine
9229 LYNDON B JOHNSON FWY, SUITE 250
DALLAS, TX 75243
Dallas County (972) 739-3097
ASHA ALEXANDER
Nurse Practitioner (Gerontology)
9229 LYNDON B JOHNSON FWY
DALLAS, TX 75243
Dallas County (682) 236-3656
RONALD HELLSTERN MD
Emergency Medicine
9229 LYNDON B JOHNSON FWY
DALLAS, TX 75243
Dallas County (800) 346-0747
NORTH TEXAS INPATIENT AND GERIATRIC ASSOCIATES PA
Internal Medicine
9229 LYNDON B JOHNSON FWY, SUITE 250
DALLAS, TX 75243
Dallas County (214) 732-3501
METROPLEX GERIATRIC ASSOCIATES PA
Family Medicine (Geriatric Medicine)
9229 LYNDON B JOHNSON FWY, SUITE 250
DALLAS, TX 75243
Dallas County (972) 739-3097

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 Shahina Suman's NPI number?

The NPI number for Shahina Suman is 1295278075. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Where is Shahina Suman located?

Shahina Suman practices at 9229 Lyndon B Johnson Fwy, Dallas, TX 75243. The listed phone number is (682) 236-3656.

What is Shahina Suman's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Shahina Suman enrolled in Medicare?

Yes. Shahina Suman 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 Shahina Suman accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 4 other insurers list Shahina Suman 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 Shahina Suman affiliated with any hospitals?

According to CMS data, Shahina Suman is affiliated with Medical Center Of Mckinney, Medical City Plano and Texas Health Presbyterian Hospital Allen.

When was this NPI record last updated?

The NPPES record for Shahina Suman was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.