Individual provider Active NPI

Michelle Samia Musallam, PA-C

  • Medical Physician Assistant
  • Allen, TX
National Provider Identifier
1285938449
Registry record updated Aug 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA03008 Issued in TX
Practice address
311 N Allen Dr
Allen, TX 75013-2539
Phone
(972) 727-8000
Fax
(972) 727-0842
NPI assigned
Jan 3, 2011
Last updated
Aug 3, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA03008 TX Primary

Addresses

Primary practice location

311 N Allen Dr
Allen, TX 75013-2539

Mailing address

5508 Roberts Dr
Plano, TX 75093-7629
Phone (923) 523-6151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Nephrology Associates Past Accepting new patients
Linda I Parker MD PA Past Accepting new patients
Dallas Nephrology Associates PastSince Nov 22, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: https://epicproxy.et1041.epichosted.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1294012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438560000000",
    "number": "1285938449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5508 ROBERTS DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750937629",
            "telephone_number": "923-523-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 N ALLEN DR",
            "city": "ALLEN",
            "state": "TX",
            "postal_code": "750132539",
            "telephone_number": "972-727-8000",
            "fax_number": "972-727-0842"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSALLAM",
        "first_name": "MICHELLE",
        "middle_name": "SAMIA",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-03",
        "last_updated": "2015-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03008",
            "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 Aug 3, 2015; 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.