NPIMap

Individual provider Active NPI

Kamaria Shafeek, PA

  • Physician Assistant
  • Mesquite, TX
National Provider Identifier
1124356597
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08091 Issued in TX
Practice address
1011 N Galloway Ave
Mesquite, TX 75149-2433
Phone
(704) 905-1868
NPI assigned
Nov 24, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001002094 NC
Physician Assistant 363A00000X PA08091 TX Primary

Addresses

Primary practice location

1011 N Galloway Ave
Mesquite, TX 75149-2433

Mailing address

1011 N Galloway Ave
Mesquite, TX 75149-2433
Phone (972) 697-6535

Other practice location 1

2772 Stonebrook Pkwy Ste 100
Frisco, TX 75034-1582
Phone (469) 902-9200

Other identifiers 3

IdentifierTypeStateIssuer
314004802MedicaidTX
PA08091OtherTXSTATE LICENSE
001002094OtherNCNC PA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130223000113 TX Practitioner - Physician Assistant 8224221320 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
May accept Medicare assignment
Group practices
Texas Medicine Resources, LLPGroup PAC ID 5890688212, 255 clinicians
DMD Stonebrook, PLLCGroup PAC ID 8729486782, 5 clinicians
Contemporary Medicine Associates, PLLCGroup PAC ID 6002964285, 29 clinicians

Practice addresses (Care Compare)

1301 Pennsylvania Ave
Fort Worth, TX 76104-2122
Phone (817) 250-2000

2772 Stonebrook Pkwy
Suite 100
Frisco, TX 75034-1582
Phone (469) 902-9200

6565 W Loop S
Suite 525
Bellaire, TX 77401-3519
Phone (713) 677-2475

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Denton Hospital, Denton, TX, CCN 450743

Merit-based Incentive Payment System (MIPS)

Final score
98.13 of 100Reported as group
Quality
90.84
Improvement activities
40
Cost
77.24

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001002094NCMDPhysician Assistant
PA08091TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Questcare Medical Services, PLLC Physician Assistant CurrentSince Nov 1, 2013 Accepting new patients
Ray Hubbard Emergency Physicians PLLC Physician Assistant CurrentSince Mar 30, 2023 Accepting new patients
High Country Community Rural Health Clinic Past Accepting new patients
Mesquite Physicians Group, PLLC Past Accepting new patients
First Foundation Clinic of the Carolinas, Inc. Past Accepting new patients
Driven MD, PLLC Past Accepting new patients
Union Medical Clinic, PC Past Accepting new patients
Emcare-Dtxemergency Physicians PLLC Physician Assistant Past Accepting new patients

Locations

7777 Forest Ln
Dallas, TX 75230
Phone (972) 566-7283

2600 W Pleasant Run Rd
Lancaster, TX 75146
Phone (469) 297-5321

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

6800 Scenic Dr
#1550
Rowlett, TX 75088
Phone (972) 412-2273

231 S Collins Rd
Sunnyvale, TX 75182
Phone (972) 203-6240

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1124356597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1011 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492433",
            "telephone_number": "972-697-6535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1011 N GALLOWAY AVE",
            "city": "MESQUITE",
            "state": "TX",
            "postal_code": "751492433",
            "telephone_number": "704-905-1868"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2772 Stonebrook Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750341582",
            "country_code": "US",
            "telephone_number": "469-902-9200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFEEK",
        "first_name": "KAMARIA",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001002094",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08091",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "314004802",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "PA08091",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PA LICENSE",
            "identifier": "001002094",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesquite, TX

Sources for this page

Verify at the official NPI Registry.