ABEERA AZAM (MD) – Internal Medicine Physician, NPI 1245805621

ABEERA AZAM (MD) is a healthcare provider. based in Plano, Texas. specializing in INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. V5730 (TX). The NPI Number for ABEERA AZAM (MD) is 1245805621

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
ABEERA AZAM (MD)
NPI
1245805621
Phone
Not provided
Address
3901 W 15TH ST
Enumeration Date
26 May 2021
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9549395000
Graduation Year
2017 (9 years ago)
PAC ID
8921409368
Group Practice PAC ID
7719137397
Professional Enrollment ID
I20250627003112
Address ID
TX750691650MC4500XDRXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

13,290 INTERNAL MEDICINE in TX

Provider Addresses for ABEERA AZAM (MD)

  • 3901 W 15TH ST

    PLANO, TX 750757738

    Phone:

    Type: Mailing

  • 11937 US HIGHWAY 271

    TYLER, TX 757083154

    Phone: (903) 877-7777

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250627003112IInternal MedicineTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75075)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719137397View full group profile
NameSpecialtyState
-TX
Internal MedicineTX
Internal MedicineTX
Nurse PractitionerTX
Physician AssistantTX
Internal MedicineMD
Nurse PractitionerTX
Internal Medicine, Geriatric MedicineTX
Nurse PractitionerTX
Physician AssistantTX

Reviews

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Frequently asked questions

What is ABEERA AZAM (MD)'s NPI number?
ABEERA AZAM (MD)'s NPI is 1245805621 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to ABEERA AZAM (MD)?
You should see ABEERA AZAM (MD) as active in CMS-hosted NPPES data.
What kind of doctor is ABEERA AZAM (MD)?
ABEERA AZAM (MD) is associated with Internal Medicine Physician in the directory — Clinical services aligned with this taxonomy classification.
What locale is associated with ABEERA AZAM (MD)?
Directory geography for ABEERA AZAM (MD) centers on Plano, Texas.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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