Individual provider Active NPI

Shamin Masrour

  • Neurology Physician
  • Dallas, TX
National Provider Identifier
1013275676
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
Q8302 Issued in TX
Practice address
5439 Glen Lakes Dr
Dallas, TX 75231-4307
Phone
(214) 620-0920
Fax
(214) 216-4574
NPI assigned
May 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X BP10042773 TX
Neurology Physician 2084N0400X Q8302 TX Primary

Addresses

Primary practice location

5439 Glen Lakes Dr
Dallas, TX 75231-4307

Mailing address

5439 Glen Lakes Dr
Dallas, TX 75231-4307

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jun 25, 2025 through Jun 25, 2027

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
82.87 of 100Reported as group
Quality
70.15
Promoting interoperability
100
Improvement activities
40
Cost
72.75

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
BP10042773TXMDInternal Medicine Physician
Q8302TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Headache and Facial Pain Center Current Accepting new patients

Locations

5439 Glen Lakes Dr
Dallas, TX 75231
Phone (214) 212-3048

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1013275676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5439 GLEN LAKES DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5439 GLEN LAKES DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752314307",
            "telephone_number": "214-620-0920",
            "fax_number": "214-216-4574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASROUR",
        "first_name": "SHAMIN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-01",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10042773",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "Q8302",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.