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FAAC, PA
NPI 1730290099
Allergy & Immunology - Allergy in Flower Mound, TX

Active since August 31, 2006CLIA 45D2239043 · Waiver
3051 CHURCHILL DR STE 130, FLOWER MOUND, TX 75022(972) 539-0086(972) 355-9680 Get Directions Write a Review

NPPES record last updated: January 16, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 16, 2026, Jun 11, 2025, Feb 20, 2020 and 2 more (5 updates tracked since 2018).

About Faac, Pa NPPES

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

FAAC, PA (NPI 1730290099), doing business as Family Allergy And Asthma Care, is a healthcare organization registered as an allergy in Flower Mound, Texas and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through October 7, 2027, maintains a secondary practice location in Denton, and lists Tammy Sheren, Specialty Insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1730290099
Entity TypeOrganization
Primary Taxonomy207KA0200X
Legal Business NameFAAC, PA
Location Address3051 CHURCHILL DR STE 130Flower Mound, TX 75022-2710
Mailing Address3051 Churchill Dr Ste 130Flower Mound, TX 75022-2710 · (972) 539-0086 · Fax (972) 355-9680
Phone(972) 539-0086
Fax(972) 355-9680
Organization SubpartNo
Authorized OfficialTammy SherenSpecialty Insurance Manager · (972) 539-0086
Enumeration DateAugust 31, 2006
Last NPPES UpdateJanuary 16, 20265 updates tracked since enumeration
NPPES CertifiedJanuary 16, 2026
✔ NPI 1730290099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in TX · H4184
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
3051 CHURCHILL DR STE 130, Flower Mound, TX 75022
Open in Google Maps ↗

Other Names 1

Doing Business AsFamily Allergy And Asthma Care

Secondary Practice Location 1

Location 1209 N Bonnie Brae St Ste 100Denton, TX 76201-3709 · Phone (972) 539-0086 · Fax (972) 355-9680

Other Identifiers 2

Other0016CVTX · Bcbs
Other5002043TX · Aetna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Faac, Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Faac, PA, which bills Medicare for the services they deliver. Of these, 4 practice at this address. They are listed nearest first.

Clinicians, nearest first (4)

Mary Hudelson, M.D.
Allergy/Immunology
NPI 1679530372
3051 CHURCHILL DR STE 130
Flower Mound, TX 75022
(972) 539-0086
✔ PECOS✔ Accepts MedicareSame address
Smridhi Mahajan, MD
Allergy/Immunology
NPI 1285262634
3051 CHURCHILL DR STE 130
Flower Mound, TX 75022
(972) 539-0086
✔ PECOS✔ Accepts MedicareSame address
Devika Pillay, DO
Allergy/Immunology
NPI 1558980656
3051 CHURCHILL DR STE 130
Flower Mound, TX 75022
(972) 539-0086
✔ PECOS✔ Accepts MedicareSame address
Susamita Kesh, MD
Allergy/Immunology
NPI 1003348004
3051 CHURCHILL DR STE 130
Flower Mound, TX 75022
(972) 539-0086
✔ PECOS✔ Accepts MedicareSame address

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2239043

Faac, PA Dba Family Allergy & Asthma Care · Denton, TX
Active · expires Oct 7, 2027
CLIA Number45D2239043
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorMary Hudelson
Laboratory Phone(972) 539-0086
Laboratory LocationFaac, PA Dba Family Allergy & Asthma Care209 N Bonnie Brae, Medical Office 3, Suite 100, Denton, TX 76201
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Faac, PA's NPI number?

The NPI number for Faac, PA is 1730290099. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Family Allergy and Asthma CARE.

Where is Faac, PA located?

Faac, PA is located at 3051 Churchill Dr Ste 130, Flower Mound, TX 75022. The listed phone number is (972) 539-0086.

What is Faac, PA's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Faac, PA enrolled in Medicare?

Yes. Faac, PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Faac, PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Allergy/Immunology, reassign their Medicare billing to Faac, PA. A 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 the clinician's services. Of these, 4 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Faac, PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2239043) is associated with this NPI, valid through October 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Faac, PA was last updated on January 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.