Individual provider Active NPI

Mohamed Summakia, M.D.

  • Neurology Physician
  • Denton, TX
National Provider Identifier
1962430553
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
N0488 Issued in TX
Practice address
2516 Lillian Miller Pkwy
Ste 110
Denton, TX 76210-7205
Phone
(940) 243-0202
Fax
(940) 243-0404
NPI assigned
Jun 30, 2006
Last updated
Jan 6, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X N0488 TX Primary

Addresses

Primary practice location

2516 Lillian Miller Pkwy
Ste 110
Denton, TX 76210-7205

Mailing address

9607 Valley Lake LN
Irving, TX 75063-5014
Phone (469) 323-8112

Other practice location 1

102 N Magdalen St
San Angelo, TX 76903-5400
Phone (325) 747-2041

Other identifiers 4

IdentifierTypeStateIssuer
201471401MedicaidTX
201471402OtherTXMEDICAID TPI NUMBER
TXB141949OtherTXMEDICARE FOR TARRANT COUNTY
P00784505OtherTXRAILROAD MEDICARE

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
I20090317000248 TX Practitioner - Neurology 4789680661 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians

Practice addresses (Care Compare)

102 N Magdalen
San Angelo, TX 76903
Phone (325) 747-1511

6800 N Macarthur Blvd
Irving, TX 75039-2422
Phone (972) 246-8563

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.38 of 100Reported as group
Quality
80.41
Promoting interoperability
100
Improvement activities
40
Cost
78.69

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N0488TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shannon Clinic CurrentSince Nov 1, 2025 Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 21, 2017 Accepting new patients
Talis Healthcare LLC CurrentSince May 24, 2023 Accepting new patients

Locations

2201 S Austin Ave
Denison, TX 75020
Phone (214) 463-4752

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

2517 Virginia Pkwy
Ste 102
McKinney, TX 75071

102 N Magdalen St
San Angelo, TX 76903
Phone (325) 655-2200

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

321 N Highland Ave
Ste 200
Sherman, TX 75092

Interoperability endpoints

  • Direct secure messaging: dmcmsumma@yourcarecommunity.org

Organizations & group practices 5

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 5

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1962430553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9607 VALLEY LAKE LN",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750635014",
            "telephone_number": "469-323-8112",
            "fax_number": "817-549-7779"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2516 LILLIAN MILLER PKWY",
            "address_2": "STE 110",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762107205",
            "telephone_number": "940-243-0202",
            "fax_number": "940-243-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "102 N Magdalen St",
            "address_purpose": "LOCATION",
            "city": "San Angelo",
            "state": "TX",
            "postal_code": "769035400",
            "country_code": "US",
            "telephone_number": "325-747-2041",
            "fax_number": "325-747-2366",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMAKIA",
        "first_name": "MOHAMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "N0488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201471401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID TPI NUMBER",
            "identifier": "201471402",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FOR TARRANT COUNTY",
            "identifier": "TXB141949",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00784505",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

Verify at the official NPI Registry.