PAULINA THANAWALA D.O.
NPI 1740669746
Family Medicine in Plano, TX

Active since May 22, 2015PECOS EnrolledAccepts Medicare Assignment
4001 W 15TH ST STE 245, PLANO, TX 75093(972) 596-5222(972) 596-5291 Get Directions Write a Review

NPPES record last updated: July 29, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 29, 2021, Nov 4, 2019 (2 updates tracked since 2019).

About Paulina Thanawala D.o. NPPES

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

PAULINA THANAWALA D.O. (NPI 1740669746) is an individual family medicine provider in Plano, Texas, licensed in Texas (R7613) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Medical Center Of Mckinney, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (2015).

NPPES Registry Identity

NPI1740669746
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NamePAULINA THANAWALACredential: D.O.
Location Address4001 W 15TH ST STE 245Plano, TX 75093-5839
Mailing Address4001 W 15th St Ste 245Plano, TX 75093-5839 · (972) 596-5222 · Fax (972) 596-5291
Fax(972) 596-5291
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2015
Enumeration DateMay 22, 2015
Last NPPES UpdateJuly 29, 20212 updates tracked since enumeration
NPPES CertifiedJuly 29, 2021
NPI 1740669746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · R7613
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

Other Identifiers 1

Medicaid392050601TX

Accepted 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

Paulina Thanawala D.o. 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 ID1153674676
PECOS Enrollment IDI20181031001542
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 41

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
961 services15 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
735 services505 patients
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count 85025
A Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
727 services506 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
704 services502 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
689 services557 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
671 services485 patients

Hospital Affiliations CMS Care Compare 5

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

Methodist Richardson Medical Center

Acute Care Hospitals · Richardson, TX
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number450537
Location2831 E President George Bush HighwayRichardson, TX 75082 · 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 Plano

Acute Care Hospitals · Plano, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450771
Location6200 W Parker RdPlano, TX 75093 · Collin County
Emergency services Birthing friendly

Baylor Scott & White Medical Center Plano

Acute Care Hospitals · Plano, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number450890
Location4700 Alliance BoulevardPlano, TX 75093 · Collin County
Emergency services

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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers39 claims121 services$5.07 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers22 claims36 services$0.77 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims17 services$15.41 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier14 claims14 services$66.63 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 6

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

Family Medicine
4001 W 15TH ST STE 245
PLANO, TX 75093
Nurse Practitioner (Family)
4001 W 15TH ST STE 245
PLANO, TX 75093
Internal Medicine
4001 W 15TH ST STE 245
PLANO, TX 75093
Internal Medicine
4001 W 15TH ST STE 245
PLANO, TX 75093
Nurse Practitioner (Family)
4001 W 15TH ST STE 245
PLANO, TX 75093
Physician Assistant (Medical)
4001 W 15TH ST STE 245
PLANO, TX 75093

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 Paulina Thanawala's NPI number?

The NPI number for Paulina Thanawala is 1740669746. It was assigned to this individual provider in the NPPES registry on May 22, 2015.

Where is Paulina Thanawala located?

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

What is Paulina Thanawala's specialty?

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

Is Paulina Thanawala enrolled in Medicare?

Yes. Paulina Thanawala 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 Paulina Thanawala accept?

Health plans from Blue Cross and Blue Shield of Texas and Molina Healthcare list Paulina Thanawala 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 Paulina Thanawala affiliated with any hospitals?

According to CMS data, Paulina Thanawala is affiliated with Medical Center Of Mckinney, Methodist Richardson Medical Center, Medical City Plano, Texas Health Presbyterian Hospital Plano and Baylor Scott & White Medical Center Plano.

When was this NPI record last updated?

The NPPES record for Paulina Thanawala was last updated on July 29, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.