Individual provider Active NPI

Sakeena Jamaluddin Payne, M.D.

  • Otolaryngology Physician
  • York, PA
National Provider Identifier
1598023962
Registry record updated Jan 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
S0056 Issued in TX
Practice address
924 Colonial Ave Ste E
York, PA 17403-3450
Phone
(717) 843-9089
NPI assigned
Apr 24, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD463966 PA
Otolaryngology Physician 207Y00000X S0056 TX Primary

Addresses

Primary practice location

924 Colonial Ave Ste E
York, PA 17403-3450

Mailing address

5220 W University Dr Ste 150
McKinney, TX 75071-7418
Phone (972) 984-1050

Other practice location 1

500 University Dr
McH091
Hershey, PA 17033-2360
Phone (717) 531-8945

Other practice location 2

1111 Raintree Cir Ste 280
Allen, TX 75013-4901
Phone (972) 984-1050

Other names 1

  • Sakeena Shabbir Jamaluddin Former name

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
I20200203001881 TX Practitioner - Otolaryngology 9335490788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Texas Tech University Health Science Center School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The ENT and Allergy Centers of Texas, PLLCGroup PAC ID 4385709054, 56 clinicians

Practice addresses (Care Compare)

5220 W University Dr
Suite 150
McKinney, TX 75071-7418
Phone (972) 984-1050

Hospital & facility affiliations

  • Baylor Scott and White Medical Center McKinney Hospital, MC Kinney, TX, CCN 670082

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD463966PAMDOtolaryngology Physician
S0056TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The ENT & Allergy Centers of Texas, PLLC Otolaryngology CurrentSince Mar 9, 2020 Accepting new patients
Richard D Thrasher III MD PA Otolaryngology PastSince Jan 26, 2020 Accepting new patients

Locations

1111 Raintree Cir
Ste 280
Allen, TX 75013
Phone (972) 984-1050

1060 S Preston Rd
Ste 106
Celina, TX 75009
Phone (469) 488-4800

5220 W University Dr
Ste 150
McKinney, TX 75071
Phone (972) 632-3270

4001 W 15th St
Ste 225
Plano, TX 75093
Phone (972) 599-2559

Organizations & group practices 2

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 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": "1335225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579478400000",
    "number": "1598023962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 W UNIVERSITY DR STE 150",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750717418",
            "telephone_number": "972-984-1050",
            "fax_number": "972-984-1376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 COLONIAL AVE STE E",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174033450",
            "telephone_number": "717-843-9089"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_2": "MCH091",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8945",
            "fax_number": "717-531-6160",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1111 Raintree Cir Ste 280",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750134901",
            "country_code": "US",
            "telephone_number": "972-984-1050",
            "fax_number": "972-984-1376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYNE",
        "first_name": "SAKEENA",
        "middle_name": "JAMALUDDIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-24",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD463966",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "S0056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAKEENA",
            "last_name": "JAMALUDDIN",
            "middle_name": "SHABBIR",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in York, PA

Sources for this page

Verify at the official NPI Registry.