Individual provider Active NPI

Pamela Ceku, PA-C

  • Physician Assistant
  • Plano, TX
National Provider Identifier
1891484069
Registry record updated Sep 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
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

Updated by the provider on Sep 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 PAGroup PAC ID 3971827791, 106 clinicians

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

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology PA CurrentSince Dec 1, 2025 Accepting new patients
David Grice DO PA PastSince May 7, 2023 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.

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

Verify at the official NPI Registry.