Individual provider Active NPI

Shamim Justin Badiyan, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Frisco, TX
National Provider Identifier
1871791590
Registry record updated Jul 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
N8075 Issued in TX
Practice address
11500 Highway 121
Ste. 1010
Frisco, TX 75035
Phone
(972) 219-8400
Fax
(972) 219-5331
NPI assigned
Jul 3, 2007
Last updated
Jul 17, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X N8075 TX Primary

Addresses

Primary practice location

11500 Highway 121
Ste. 1010
Frisco, TX 75035

Mailing address

11500 Highway 121
Ste. 1010
Frisco, TX 75035
Phone (972) 219-8400

Other identifiers 4

IdentifierTypeStateIssuer
287577501MedicaidTX
287577503MedicaidTX
8CY297OtherTXBCBS
287577502MedicaidTX

Other names 1

  • Shamim Shakouri 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
I20111018000128 TX Practitioner - AnesthesiologyPractitioner - Interventional Pain Management 9638341621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Texas Medical Branch at Galveston, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Badiyan Pain Management PLLCGroup PAC ID 1557505401, 2 clinicians
Green Oaks Physical Therapy Limited PartnershipGroup PAC ID 4688582141, shared by 2 NPIs, 208 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

11500 State Hwy 121
Suite 1010
Frisco, TX 75035-9347
Phone (972) 219-8400

2710 N Josey LN
301 Green Oaks Carrollton
Carrollton, TX 75007-5400
Phone (469) 701-9108

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.48 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
74.93

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Go Anesthesiology CurrentSince Dec 28, 2019 Accepting new patients
Badiyan Pain Management PLLC Pain Medicine CurrentSince Aug 19, 2013 Accepting new patients
Badiyan Anesthesiology PLLC Current Accepting new patients

Locations

11500 State Highway 121
Ste 1010
Frisco, TX 75035
Phone (214) 807-0445

4461 Coit Rd
Ste 411
Frisco, TX 75035
Phone (469) 999-2707

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752710400000",
    "number": "1871791590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 HIGHWAY 121",
            "address_2": "STE. 1010",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-219-8400",
            "fax_number": "972-219-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 HIGHWAY 121",
            "address_2": "STE. 1010",
            "city": "FRISCO",
            "state": "TX",
            "postal_code": "75035",
            "telephone_number": "972-219-8400",
            "fax_number": "972-219-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BADIYAN",
        "first_name": "SHAMIM",
        "middle_name": "JUSTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-03",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "TX",
            "license": "N8075",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287577501",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287577503",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8CY297",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "287577502",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAMIM",
            "last_name": "SHAKOURI",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Frisco, TX

Sources for this page

Verify at the official NPI Registry.