NPIMap

Individual provider Active NPI

Ellis Ducdat Doan, M.D.

  • Internal Medicine Physician
  • Austin, TX
National Provider Identifier
1124280805
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
N9695 Issued in TX
Practice address
7000 North Mopac
Suite #420
Austin, TX 78731
Phone
(512) 482-0045
Fax
(512) 476-9892
NPI assigned
Jun 25, 2008
Last updated
Feb 14, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N9695 TX Primary

Addresses

Primary practice location

7000 North Mopac
Suite #420
Austin, TX 78731

Mailing address

7000 North Mopac
Suite #420
Austin, TX 78731
Phone (512) 482-0045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110907001536 TX Practitioner - Internal Medicine 6305016098 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healthdrive Medical Services of Texas LLCGroup PAC ID 2466899752, 40 clinicians
Hospital Internists of Texas LLCGroup PAC ID 6507133584, 46 clinicians

Practice addresses (Care Compare)

2413 E Loop 820
Fort Worth, TX 76118-6933
Phone (888) 964-6681

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 476-7111

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N9695TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Medical Services Southeast LLC Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Healthdrive Medical Services of Texas LLC CurrentSince Jan 1, 2026 Accepting new patients
Lonestar Hospital Medicine Associates, PA Internal Medicine CurrentSince Feb 1, 2015 Accepting new patients
Hospital Internists of Texas, LLC Internal Medicine CurrentSince Aug 1, 2017 Accepting new patients
Arc Lakeway SNF LLC Past Accepting new patients

Locations

3200 W Slaughter Ln
Austin, TX 78748
Phone (512) 282-0141

5301 Duval Rd
Austin, TX 78727
Phone (512) 326-1141

7000 N Mopac Expy
Ste 420
Austin, TX 78731
Phone (512) 827-2941

901 W Ben White Blvd
Austin, TX 78704
Phone (512) 342-2382

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

2413 E Loop 820 N
Ft Worth, TX 76118
Phone (773) 426-9232

1917 Lohmans Crossing Rd
Lakeway, TX 78734
Phone (512) 261-3211

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

Organizations & group practices 8

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392336000000",
    "number": "1124280805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7000 NORTH MOPAC",
            "address_2": "SUITE #420",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-482-0045",
            "fax_number": "512-476-9892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7000 NORTH MOPAC",
            "address_2": "SUITE #420",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78731",
            "telephone_number": "512-482-0045",
            "fax_number": "512-476-9892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "ELLIS",
        "middle_name": "DUCDAT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2014-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N9695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.