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MOHAMED SUMMAKIA M.D.
NPI 1962430553
Psychiatry & Neurology - Neurology in Denton, TX

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
91.96/100
CMS Quality Rating
2516 LILLIAN MILLER PKWY, STE 110, DENTON, TX 76210(940) 243-0202(940) 243-0404 Get Directions Write a Review

NPPES record last updated: January 6, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 6, 2026, Oct 22, 2016 (2 updates tracked since 2016).

About Mohamed Summakia M.d. NPPES

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

MOHAMED SUMMAKIA M.D. (NPI 1962430553) is an individual neurology provider in Denton, Texas, licensed in Texas (N0488) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Medical City North Hills, and maintains a secondary practice location in San Angelo.

NPPES Registry Identity

NPI1962430553
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameMOHAMED SUMMAKIACredential: M.D.
Location Address2516 LILLIAN MILLER PKWY, STE 110Denton, TX 76210-7205
Mailing Address9607 Valley Lake LnIrving, TX 75063-5014 · (469) 323-8112 · Fax (817) 549-7779
Phone(940) 243-0202
Fax(940) 243-0404
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJune 30, 2006
Last NPPES UpdateJanuary 6, 20262 updates tracked since enumeration
NPPES CertifiedJanuary 6, 2026
✔ NPI 1962430553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · N0488
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
2516 LILLIAN MILLER PKWY, Denton, TX 76210
Open in Google Maps ↗

Secondary Practice Location 1

Location 1102 N Magdalen StSan Angelo, TX 76903-5400 · Phone (325) 747-2041 · Fax (325) 747-2366

Other Identifiers 4

OtherTXB141949TX · Medicare For Tarrant County
Medicaid201471401TX
Other201471402TX · Medicaid Tpi Number
OtherP00784505TX · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Molina Healthcare.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

Mohamed Summakia 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 ID4789680661
PECOS Enrollment IDI20090317000248
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 4

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.

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
65 services65 patients
Measurement of brain wave activity (eeg), awake and drowsy 95816
Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.
58 services54 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
39 services39 patients

Hospital Affiliations CMS Care Compare 5

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

Medical City North Hills

Acute Care Hospitals · North Richland Hills, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450087
Location4401 Booth Calloway RoadNorth Richland Hills, TX 76180 · Tarrant County
Emergency services

Medical City Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipProprietary
CMS Certification Number450634
Location3535 South I35 EastDenton, TX 76210 · Denton County
Emergency services

Texas Health Presbyterian Hospital Denton

Acute Care Hospitals · Denton, TX
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450743
Location3000 N I-35Denton, TX 76201 · Denton County
Emergency services Birthing friendly

Texas Health Harris Methodist Hospital Southwest F

Acute Care Hospitals · Fort Worth, TX
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450779
Location6100 Harris PkwyFort Worth, TX 76132 · Tarrant County
Emergency services Birthing friendly

Texas Health Hospital Frisco

Acute Care Hospitals · Frisco, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number670260
Location12400 N Dallas ParkwayFrisco, TX 75033 · Denton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 76210 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
$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.

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.

91.96/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality89.78
Promoting Interoperability100
Improvement Activities40
Cost56.81

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 Mohamed Summakia's NPI number?

The NPI number for Mohamed Summakia is 1962430553. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Mohamed Summakia located?

Mohamed Summakia practices at 2516 Lillian Miller Pkwy Ste 110, Denton, TX 76210. The listed phone number is (940) 243-0202.

What is Mohamed Summakia's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Mohamed Summakia enrolled in Medicare?

Yes. Mohamed Summakia 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 Mohamed Summakia accept?

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

According to CMS data, Mohamed Summakia is affiliated with Medical City North Hills, Medical City Denton, Texas Health Presbyterian Hospital Denton, Texas Health Harris Methodist Hospital Southwest F and Texas Health Hospital Frisco.

When was this NPI record last updated?

The NPPES record for Mohamed Summakia was last updated on January 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.