SHAFAYET ALAM DPM
NPI 1558776450
Podiatrist - Foot & Ankle Surgery in Plano, TX

Active since June 30, 2014PECOS Enrolled
4508 LEGACY DR STE 200, PLANO, TX 75024(469) 551-8595 Get Directions Write a Review

NPPES record last updated: July 8, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 8, 2026, Jun 14, 2023 (2 updates tracked since 2023).

About Shafayet Alam Dpm NPPES

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

SHAFAYET ALAM DPM (NPI 1558776450) is an individual foot & ankle surgery provider in Plano, Texas, licensed in Texas (692307) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS and is a graduate of Barry University School Of Podiatric Medicine (2014).

NPPES Registry Identity

NPI1558776450
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameSHAFAYET ALAMCredential: DPM
Location Address4508 LEGACY DR STE 200Plano, TX 75024-2189
Mailing Address2320 Cup DrPlano, TX 75074-2096 · (972) 207-0368
Sole ProprietorNo
Medical School CMSBarry University School Of Podiatric MedicineGraduated 2014
Enumeration DateJune 30, 2014
Last NPPES UpdateJuly 8, 20262 updates tracked since enumeration
NPPES CertifiedJuly 8, 2026
✔ NPI 1558776450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in TX · 692307
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License P121104 (NY)
4508 LEGACY DR STE 200, Plano, TX 75024

Other Identifiers 1

Other692307TX · Tdlr

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shafayet Alam Dpm is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5799243135
PECOS Enrollment IDI20260817001871
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.

Medicare Billing Reassignment

Medicare enrollment records show Shafayet Alam reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Foot Surgery
4508 LEGACY DR STE 200
Plano, TX 75024
  • Reassigned Medicare billing, Texas enrollment
  • 4 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 5

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

Podiatrist (Foot Surgery)
4508 LEGACY DR STE 200
PLANO, TX 75024
Chiropractor (Neurology)
4508 LEGACY DR STE 200
PLANO, TX 75024
Chiropractor
4508 LEGACY DR STE 200
PLANO, TX 75024
Podiatrist (Foot Surgery)
4508 LEGACY DR STE 200
PLANO, TX 75024
Counselor (Professional)
4508 LEGACY DR STE 200
PLANO, TX 75024

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 Shafayet Alam's NPI number?

The NPI number for Shafayet Alam is 1558776450. It was assigned to this individual provider in the NPPES registry on June 30, 2014.

Where is Shafayet Alam located?

Shafayet Alam practices at 4508 Legacy Dr Ste 200, Plano, TX 75024. The listed phone number is (469) 551-8595.

What is Shafayet Alam's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Shafayet Alam enrolled in Medicare?

Yes. Shafayet Alam is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Shafayet Alam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shafayet Alam reassigns Medicare benefits to Dfw Foot And Ankle Care LLC (Plano, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shafayet Alam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shafayet Alam accept?

Health plans from WellPoint list Shafayet Alam 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 Shafayet Alam was last updated on July 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.