Individual provider Active NPI

Shamima Sattar, M.D.

  • Internal Medicine Physician
  • Lubbock, TX
National Provider Identifier
1417140641
Registry record updated Sep 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N4068 Issued in TX
Practice address
4642 N Loop 289
Lubbock, TX 79416-2409
Phone
(806) 722-2161
NPI assigned
Aug 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N4068 TX Primary

Addresses

Primary practice location

4642 N Loop 289
Lubbock, TX 79416-2409

Mailing address

4802 N Loop 289
Lubbock, TX 79416-3025
Phone (806) 788-0040

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100319000241 TX Practitioner - Internal Medicine 7416045422 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Universal Physicians PAGroup PAC ID 5496840928, 8 clinicians

Practice addresses (Care Compare)

3711 Briarpark Dr
Suite 202
Houston, TX 77042-5246
Phone (713) 893-3792

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N4068TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC CurrentSince May 1, 2019 Accepting new patients
Texas Physicians Group Internal Medicine CurrentSince Apr 27, 2016 Accepting new patients
Universal Physicians PA CurrentSince Apr 25, 2019 Accepting new patients
Concord Medical Group of Texas PLLC CurrentSince May 1, 2019 Accepting new patients

Locations

1601 W 11th Pl
Big Spring, TX 79720
Phone (432) 263-1211

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

705 E Felt St
Brownfield, TX 79316
Phone (806) 637-1955

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

3711 Briarpark Dr
Ste 202
Houston, TX 77042
Phone (713) 589-9159

4810 N Loop 289
Lubbock, TX 79416
Phone (806) 687-7777

4642 N Loop 289
Lubbock, TX 79416
Phone (806) 722-2161

4802 N Loop 289
Lubbock, TX 79416
Phone (806) 788-0004

Interoperability endpoints

  • Direct secure messaging: shamima.sattar@direct.myteamcare.com
  • FHIR API: https://api.platform.athenahealth.com/24018/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1187654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1504828800000",
    "number": "1417140641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4802 N LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794163025",
            "telephone_number": "806-788-0040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4642 N LOOP 289",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794162409",
            "telephone_number": "806-722-2161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SATTAR",
        "first_name": "SHAMIMA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-21",
        "last_updated": "2017-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N4068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.