Organization Active NPI

Fivestar Pulmonary Associates PLLC

  • Pulmonary Disease Physician
  • Allen, TX
National Provider Identifier
1225647423
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
Legal business name
FIVESTAR PULMONARY ASSOCIATES PLLC
Practice address
981 State Highway 121 Ste 1100
Allen, TX 75013-6148
Phone
(972) 526-0008
NPI assigned
Jul 24, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Authorized official

Name
Anthony Eguakhide Nebor, MDNPI 1154685881
Title
Medical Director
Phone
(972) 526-0007

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0200X
Pulmonary Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RP1001X Primary

Addresses

Primary practice location

981 State Highway 121 Ste 1100
Allen, TX 75013-6148

Mailing address

981 State Highway 121 Ste 1100
Allen, TX 75013-6148
Phone (972) 526-0007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200914001492 TX Part B Supplier - Clinic/Group Practice 8022436682 Receives reassigned benefits from 4 practitioners
Practice locations: Allen, TX; McKinney, TX; Plano, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D2191607Fivestar Pulmonary Associates, PLLC981 State Hwy 121 Suite 1100, Allen, TX 75013Certificate of waiverAug 29, 2026

National Provider Directory

National Provider Directory

Locations

1400 N Coit Rd
Ste 303
McKinney, TX 75071
Phone (972) 526-0007

2300 McDermott Rd
Ste 200323
Plano, TX 75025

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CIIBCD

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778457600000",
    "number": "1225647423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "981 STATE HIGHWAY 121 STE 1100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136148",
            "telephone_number": "972-526-0007",
            "fax_number": "888-905-2543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "981 STATE HIGHWAY 121 STE 1100",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750136148",
            "telephone_number": "972-526-0008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIVESTAR PULMONARY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-24",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A",
        "authorized_official_last_name": "NEBOR",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_middle_name": "EGUAKHIDE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "972-526-0007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.