DR. SUSHMA AMARA MD
NPI 1861633802
Obstetrics & Gynecology - Maternal & Fetal Medicine in Mckinney, TX

Active since March 22, 2009PECOS EnrolledAccepts Medicare Assignment
5236 W UNIVERSITY DR STE 3800, MCKINNEY, TX 75071(469) 219-3476 Get Directions Write a Review

NPPES record last updated: March 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 6, 2020, Jul 10, 2017, Mar 28, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Sushma Amara Md NPPES

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

DR. SUSHMA AMARA MD (NPI 1861633802) is an individual maternal & fetal medicine provider in Mckinney, Texas, licensed in Texas (S5198) and active in the NPI registry since March 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1861633802
Entity TypeIndividualFemale
Primary Taxonomy207VM0101X
Provider Legal NameDR. SUSHMA AMARACredential: MD
Location Address5236 W UNIVERSITY DR STE 3800Mckinney, TX 75071-8124
Mailing Address1110 112th Ave Ne Ste 100Bellevue, WA 98004-4509 · (425) 749-3326
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 22, 2009
Last NPPES UpdateMarch 18, 20224 updates tracked since enumeration
NPPES CertifiedMarch 18, 2022
NPI 1861633802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207VM0101X
License Licensed in TX · S5198
Definition
An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.
5236 W UNIVERSITY DR STE 3800, Mckinney, TX 75071

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

Dr. Sushma Amara Md 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 ID1658536495
PECOS Enrollment IDI20150918000813
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 75071 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Sushma Amara's NPI number?

The NPI number for Sushma Amara is 1861633802. It was assigned to this individual provider in the NPPES registry on March 22, 2009.

Where is Sushma Amara located?

Sushma Amara practices at 5236 W University Dr Ste 3800, Mckinney, TX 75071. The listed phone number is (469) 219-3476.

What is Sushma Amara's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Is Sushma Amara enrolled in Medicare?

Yes. Sushma Amara 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 Sushma Amara accept?

Health plans from Blue Cross and Blue Shield of Texas, PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Sushma Amara 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 Sushma Amara was last updated on March 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.