Individual provider Active NPI

Susan D Ponder, MD

  • Family Medicine Physician
  • Plano, TX
National Provider Identifier
1811982721
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M5887 Issued in TX
Practice address
8080 Independence Pkwy
Suite 200
Plano, TX 75025-4000
Phone
(972) 596-9511
Fax
(972) 599-9696
NPI assigned
Sep 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M5887 TX Primary

Addresses

Primary practice location

8080 Independence Pkwy
Suite 200
Plano, TX 75025-4000

Mailing address

5425 W Spring Creek Pkwy
Suite 200
Plano, TX 75024-4236
Phone (972) 599-9600

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
I20090709000128 TX Practitioner - Family Practice 2163574906 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M5887TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catalyst Physician Group - NTX, PLLC Family Medicine CurrentSince May 1, 2024 Accepting new patients
North Texas Village Health Partners, PA Family Medicine CurrentSince Nov 1, 2013 Accepting new patients
Jeffrey M Shadle MD PA Family Medicine Past Accepting new patients

Locations

469 Westpark Way
Euless, TX 76040
Phone (817) 283-2888

1610 Commons Cir
Northlake, TX 76226
Phone (940) 725-3400

5655 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 566-9600

8277 Belleview Dr
Plano, TX 75024
Phone (214) 291-5087

8080 Independence Pkwy
Ste 200
Plano, TX 75025
Phone (972) 596-9511

5425 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 599-9600

5425 W Spring Creek Pkwy
Ste 200
Plano, TX 75024
Phone (972) 599-9600

Interoperability endpoints

  • Direct secure messaging: susan.ponder.1@20496.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1811982721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5425 W SPRING CREEK PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244236",
            "telephone_number": "972-599-9600",
            "fax_number": "972-599-9696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8080 INDEPENDENCE PKWY",
            "address_2": "SUITE 200",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750254000",
            "telephone_number": "972-596-9511",
            "fax_number": "972-599-9696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONDER",
        "first_name": "SUSAN",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-16",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M5887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.