Shining Star PLLC

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

SHINING STAR PLLC

Practice address

1778 Metromedical Dr
Fayetteville, NC 28304-3861

Phone

(910) 491-0801

Fax

(910) 491-1297

NPI assigned

Sep 16, 2025

Organization subpart

No

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

Authorized official

Name

Zulfiqar Ali, MD

Title

Owner Shining Star PLLC

Phone

(910) 491-0801

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Rising Star Pediatrics Doing business as

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

{
    "created_epoch": "1757980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786492800000",
    "number": "1114898822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1778 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043861",
            "telephone_number": "910-491-0801",
            "fax_number": "910-491-1297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1778 METROMEDICAL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283043861",
            "telephone_number": "910-491-0801",
            "fax_number": "910-491-1297"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHINING STAR PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-16",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A",
        "authorized_official_last_name": "ALI",
        "authorized_official_first_name": "ZULFIQAR",
        "authorized_official_title_or_position": "OWNER SHINING STAR PLLC",
        "authorized_official_telephone_number": "910-491-0801",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00496127",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rising Star Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adi Shimoni, OTR/L
• Reina Shimozono, PHARMD
• Kevin Daesu Shin, L.AC., PH.D.
• Lucas Kwangsu Shin, DMD
• Shinelight, Inc
• Ashleigh Danielle Shinkle, OTR/L
• Shipman-Fayetteville
• Stephanie Shippy, PA-C
• Madysen Hotchkin Shirer
• Evangeline Lee Shirland, NNP

• Pediatrics Physician in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.