Jada Duong, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

51189 Shelby Pkwy
Shelby Township, MI 48315-1786

Phone

(586) 997-9700

NPI assigned

Feb 10, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regency Reconstruction PLLCGroup PAC ID 4082968995, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jduong746165@direct.hfhs.org

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.

• Regency Reconstruction PLLC

  • Plastic and Reconstructive Surgery Physician
  • Phoenix, AZ
  • NPI 1972086924
  Medicare reassignment Care Compare group NPD
• Regency Skin Institute PLLC

  • MOHS-Micrographic Surgery Physician
  • Surprise, AZ
  • NPI 1932630563
  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679875200000",
    "number": "1144927005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 WOODFIELD EAST DR SE APT 5",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495087109",
            "telephone_number": "616-304-2040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51189 SHELBY PKWY",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483151786",
            "telephone_number": "586-997-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Oakwood St",
            "address_purpose": "LOCATION",
            "city": "Ypsilanti",
            "state": "MI",
            "postal_code": "481976229",
            "country_code": "US",
            "telephone_number": "616-304-2040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "JADA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Drewyour
• Ashley Krista Dries, LLMSW
• Mackenzie R Drinkwine
• Alexis Madison Drost
• Lauren N Drwencke, PT, DPT
• Kelly Marie Durkin-Kurek, MS, DIHOM, CHHC
• Eastside Eye Physicians, PC
• Eastside Family Dentistry
• Eastwood Community Clinics
• Cayley Ebeling

• Physician Assistant in Shelby Township, MI
• Providers in Shelby Township, MI by specialty
• Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.