DR. SHAMIM JUSTIN BADIYAN M.D.
NPI 1871791590
Anesthesiology - Pain Medicine in Frisco, TX

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
32.5/100
CMS Quality Rating
11500 HIGHWAY 121, STE. 1010, FRISCO, TX 75035(972) 219-8400(972) 219-5331 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 22, 2021, Apr 10, 2018, Sep 30, 2016 (3 updates tracked since 2016).

About Dr. Shamim Justin Badiyan M.d. NPPES

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

DR. SHAMIM JUSTIN BADIYAN M.D. (NPI 1871791590) is an individual pain medicine provider in Frisco, Texas, licensed in Texas (N8075) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Texas Health Presbyterian Hospital Flower Mound, and is a graduate of University Of Texas Medical Branch At Galveston (2006).

NPPES Registry Identity

NPI1871791590
Entity TypeIndividualMale
Primary Taxonomy207LP2900X
Provider Legal NameDR. SHAMIM JUSTIN BADIYANCredential: M.D.
Location Address11500 HIGHWAY 121, STE. 1010Frisco, TX 75035
Mailing Address11500 Highway 121, Ste. 1010Frisco, TX 75035 · (972) 219-8400 · Fax (972) 219-5331
Fax(972) 219-5331
Sole ProprietorYes
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2006
Enumeration DateJuly 3, 2007
Last NPPES UpdateJuly 17, 20253 updates tracked since enumeration
NPPES CertifiedJuly 17, 2025
NPI 1871791590 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207LP2900X
License Licensed in TX · N8075
Definition
An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.
11500 HIGHWAY 121, Frisco, TX 75035

Other Names 1

Former Name (1)Shamim Shakouri

Other Identifiers 4

Medicaid287577501TX
Medicaid287577503TX
Other8CY297TX · Bcbs
Medicaid287577502TX

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. Shamim Justin Badiyan 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 ID9638341621
PECOS Enrollment IDI20111018000128
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 27

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, propofol, 10 mg J2704
Propofol is a medication given via injection to help you relax or sleep during surgery or other medical procedures. The 10 mg dosage refers to the amount of medication you'll receive. It's administered by a healthcare professional and monitored closely for safety.
1,933 services73 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
640 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
405 services150 patients
Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml Q9966
Low osmolar contrast material with 200-299 mg/ml iodine concentration is a type of dye used in certain medical tests like CT scans or X-rays. It helps to highlight specific areas in your body, making them easier to see and examine. It's safe and commonly used.
352 services64 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
268 services43 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.
191 services100 patients

Hospital Affiliations CMS Care Compare 3

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

Texas Health Presbyterian Hospital Flower Mound

Acute Care Hospitals · Flower Mound, TX
5/5 CMS rating
OwnershipProprietary
CMS Certification Number670068
Location4400 Long Prairie RoadFlower Mound, TX 75028 · Denton County
Emergency services Birthing friendly

Methodist Mckinney Hospital

Acute Care Hospitals · Mckinney, TX
OwnershipProprietary
CMS Certification Number670069
Location8000 W Eldorado Pkwy Bldg C Suite CMckinney, TX 75070 · Collin County
Emergency services

Legent Surgical Hospital Plano

Acute Care Hospitals · Plano, TX
OwnershipProprietary
CMS Certification Number670322
Location4100 Mapleshade LanePlano, TX 75075 · Collin County
Emergency services

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.

32.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities20

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
0%383 patients1/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%3,490 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
15%408 patients1/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
12%59 patients1/55-star benchmark: 98%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
0%3,455 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
22%921 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
81%538 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
26%538 patients2/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

Anesthesiology (Pain Medicine)
11500 HIGHWAY 121, SUITE 1010
FRISCO, TX 75035

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 Shamim Badiyan's NPI number?

The NPI number for Shamim Badiyan is 1871791590. It was assigned to this individual provider in the NPPES registry on July 3, 2007. The provider is also known as Shamim Shakouri.

Where is Shamim Badiyan located?

Shamim Badiyan practices at 11500 Highway 121 Ste. 1010, Frisco, TX 75035. The listed phone number is (972) 219-8400.

What is Shamim Badiyan's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Shamim Badiyan enrolled in Medicare?

Yes. Shamim Badiyan 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 Shamim Badiyan accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Shamim Badiyan 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 Shamim Badiyan affiliated with any hospitals?

According to CMS data, Shamim Badiyan is affiliated with Texas Health Presbyterian Hospital Flower Mound, Methodist Mckinney Hospital and Legent Surgical Hospital Plano.

When was this NPI record last updated?

The NPPES record for Shamim Badiyan was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.