Individual provider Active NPI

Danique Lysanne Vandongen, MD

  • Physical Medicine & Rehabilitation Physician
  • Katy, TX
National Provider Identifier
1003009986
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
M6929 Issued in TX
Practice address
23331 Grand Reserve Dr
Katy, TX 77494-4850
Phone
(281) 505-3500
Fax
(281) 505-3895
NPI assigned
Aug 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X M6929 TX
Physical Medicine & Rehabilitation Physician 208100000X M6929 TX Primary

Addresses

Primary practice location

23331 Grand Reserve Dr
Katy, TX 77494-4850

Mailing address

PO Box 520
Katy, TX 77492-0520
Phone (281) 583-6700

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
I20080326000926 TX Practitioner - Physical Medicine and Rehabilitation 9638269988 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23331 Grand Reserve Dr
Katy, TX 77494-4850
Phone (281) 505-3500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Rehabilitation Specialist, P.a. Specialist CurrentSince Sep 1, 2007 Accepting new patients
Encompass Health Rehabilitation Hospital of Katy, LLC Past Accepting new patients

Locations

21720 Kingsland Blvd
Ste 102
Katy, TX 77450
Phone (281) 412-0955

23331 Grand Reserve Dr
Katy, TX 77494
Phone (281) 505-3500

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.

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1003009986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 520",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774920520",
            "telephone_number": "281-583-6700",
            "fax_number": "281-505-3895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23331 GRAND RESERVE DR",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774944850",
            "telephone_number": "281-505-3500",
            "fax_number": "281-505-3895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDONGEN",
        "first_name": "DANIQUE",
        "middle_name": "LYSANNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M6929",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "M6929",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.