Active NPI
Pamela Ceku, PA-C
- Physician Assistant
- Plano, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5072 W Plano Pkwy Ste 150
Plano, TX 75093-4474 - Phone
- (972) 362-9567
- Fax
- (214) 692-6567
- NPI assigned
- May 3, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
5072 W Plano Pkwy Ste 150
Plano, TX 75093-4474
Mailing address
9900 N Central Expy Ste 500
Dallas, TX 75231-0928
Phone (214) 987-3376
Other practice location 1
3200 Broadway Blvd Ste 200
Garland, TX 75043-1571
Phone (972) 271-4141
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: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260107001576 | TX | Practitioner - Physician Assistant | 8527544840 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Epiphany Dermatology PA
Practice addresses (Care Compare)
215 S Denton Tap Rd
Suite 170
Coppell, TX 75019-5066
Phone (469) 312-7302
3155 S Carrier Pkwy
Grand Prairie, TX 75052-6050
Phone (972) 263-5064
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Epiphany Dermatology PA | Current | Accepting new patients | |
| David Grice DO PA | Past | Accepting new patients |
Locations
7300 Ranch Road 2222
Bldg 1
Austin, TX 78730
215 S Denton Tap Rd
Ste 170
Coppell, TX 75019
Phone (469) 293-2067
3155 S Carrier Pkwy
Grand Prairie, TX 75052
Phone (972) 263-5064
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.
-
- Dermatology Physician
- Grand Prairie, TX
- NPI 1811176951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789084800000",
"number": "1891484069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 N CENTRAL EXPY STE 500",
"city": "DALLAS",
"state": "TX",
"postal_code": "752310928",
"telephone_number": "214-987-3376",
"fax_number": "469-532-0273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5072 W PLANO PKWY STE 150",
"city": "PLANO",
"state": "TX",
"postal_code": "750934474",
"telephone_number": "972-362-9567",
"fax_number": "214-692-6567"
}
],
"practiceLocations": [
{
"address_1": "3200 Broadway Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Garland",
"state": "TX",
"postal_code": "750431571",
"country_code": "US",
"telephone_number": "972-271-4141",
"fax_number": "972-278-8691",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CEKU",
"first_name": "PAMELA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-03",
"last_updated": "2026-09-11",
"certification_date": "2026-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Plano, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.