Individual provider Active NPI

Donald John Huang, MD

  • Surgery Physician
  • Prescott Valley, AZ
National Provider Identifier
1124017595
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
26201 Issued in AZ
Practice address
3262 N Windsong Dr BLDG 2
Prescott Valley, AZ 86314-2255
Phone
(928) 771-4788
Fax
(928) 771-5712
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 26201 AZ Primary

Addresses

Primary practice location

3262 N Windsong Dr BLDG 2
Prescott Valley, AZ 86314-2255

Mailing address

PO Box 10880
Prescott, AZ 86304-0880
Phone (602) 406-4786

Other identifiers 3

IdentifierTypeStateIssuer
AZ418295MedicaidAZ
11030161OtherCAQH
26201OtherAZARIZONA MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20110323000569 AZ Practitioner - General SurgeryPractitioner - General PracticePractitioner - Vascular Surgery 9830084078 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Kansas School of Med (KC/Wich/Sal), 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yavapai Community Hospital AssociationGroup PAC ID 6608777024, 22 clinicians

Practice addresses (Care Compare)

3262 N Windsong Dr
Prescott Valley, AZ 86314-2255
Phone (928) 759-5890

Hospital & facility affiliations

  • Nurses Network by Quality Home Health Care Home health agency, Prescott Valley, AZ, CCN 037154
  • Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue263
Removal of skin lesions1-10
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Yrmc Hospice CurrentSince Jan 2, 2024 Accepting new patients
Yavapai Regional Medical Center Physician Care LLC CurrentSince Jan 2, 2024 Accepting new patients
Yavapai Regional Medical Center Physician Care LLC CurrentSince Jan 2, 2024 Accepting new patients
Yavapai Community Hospital Association CurrentSince Jan 2, 2024 Accepting new patients
Yavapai Pathology Associates PLC Current Accepting new patients
Winslow Indian Health Care Center, Inc PastSince Jan 1, 1990 Accepting new patients
Winslow Indian Health Care Center, Inc PastSince Jan 1, 1990 Accepting new patients
Winslow Indian Health Care Center, Inc PastSince Jan 1, 1990 Accepting new patients
Winslow Indian Health Care Center, Inc PastSince Jan 1, 1990 Accepting new patients
Winslow Indian Health Care Pharmacy PastSince Jan 1, 1990 Accepting new patients
Winslow Indian Health Care Center, Inc PastSince Jan 1, 1990 Accepting new patients
Winslow Indian Health Care Center, Inc. PastSince Jan 1, 1990 Accepting new patients
Winslow Indian Health Care Center, Inc PastSince Jan 1, 1990 Accepting new patients
Winslow Indian Health Care Center, Inc PastSince Jan 1, 1990 Accepting new patients
Flagstaff Medical Center Past Accepting new patients
Winslow Indian Health Care Center, Inc PastSince Jan 1, 1990 Accepting new patients
Yavapai Regional Medical Center Physician Care Past Accepting new patients
Yavapai Regional Medical Center Past Accepting new patients
Winslow Indian Health Care Center, Inc PastSince Jan 1, 1990 Accepting new patients
Dilkon Medical Center Pharmacy PastSince Jan 1, 1990 Accepting new patients

Locations

1003 Willow Creek Rd
Prescott, AZ 86301
Phone (928) 445-2700

804 Ainsworth Dr
Ste 103
Prescott, AZ 86301
Phone (928) 445-2700

3120 Clearwater Dr
Prescott, AZ 86305
Phone (928) 445-4818

3262 N Windsong Dr
Prescott Valley, AZ 86314
Phone (928) 759-5800

3262 N Windsong Dr
Bldg 2
Prescott Valley, AZ 86314
Phone (928) 759-5890

3262 N Windsong Dr
Bldg B
Prescott Valley, AZ 86314

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 2

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1124017595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10880",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863040880",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3262 N WINDSONG DR BLDG 2",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142255",
            "telephone_number": "928-771-4788",
            "fax_number": "928-771-5712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "DONALD",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "26201",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AZ418295",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11030161",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "26201",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

Verify at the official NPI Registry.