Individual provider Active NPI

Judy Chen Doong, MD

  • MOHS-Micrographic Surgery Physician
  • Reno, NV
National Provider Identifier
1215326236
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
26155 Issued in NV
Practice address
6536 S McCarran Blvd Ste B
Reno, NV 89509-6152
Phone
(775) 982-8255
Fax
(775) 982-8251
NPI assigned
Jan 14, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 26155 NV
MOHS-Micrographic Surgery Physician 207ND0101X 26155 NV Primary

Addresses

Primary practice location

6536 S McCarran Blvd Ste B
Reno, NV 89509-6152

Mailing address

1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5262

Other identifiers 2

IdentifierTypeStateIssuer
15187873OtherNVCAQH NUMBER
26155OtherNVNV MD LIC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20210809002557 CA Practitioner - Dermatology 6305174012 Reassigns benefits to 1 organization
I20241112002548 NV Practitioner - Dermatology 6305174012 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Johns Hopkins University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Care Services LLCGroup PAC ID 1951324318, 630 clinicians

Practice addresses (Care Compare)

6536 S McCarran Blvd
Suite B
Reno, NV 89509-6152
Phone (775) 982-8255

Hospital & facility affiliations

  • Renown Regional Medical Center Hospital, Reno, NV, CCN 290001

Merit-based Incentive Payment System (MIPS)

Final score
85.15 of 100Reported as group
Quality
79.09
Promoting interoperability
100
Improvement activities
40
Cost
71.43

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision36
Removal of skin lesions756
Removal of nail tissue1-10
Removal or shaving of skin growth19
Skin biopsy236

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Services LLC Current Accepting new patients
Community Care Services LLC CurrentSince Nov 5, 2024 Accepting new patients
Medderm Corporation Dermatology CurrentSince Aug 1, 2021 Accepting new patients
Community Care Services LLC CurrentSince Nov 5, 2024 Accepting new patients
Community Care Services LLC Past Accepting new patients

Locations

3965 5th Ave
Ste 200
San Diego, CA 92103
Phone (619) 542-0013

6536 S McCarran Blvd
Ste B
Reno, NV 89509
Phone (775) 825-5595

10315 Professional Cir
Reno, NV 89521
Phone (775) 982-5860

1155 Mill St
#M14
Reno, NV 89502
Phone (775) 258-1970

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jdoong209461@direct.renown.org

Organizations & group practices 5

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 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": "1421193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1215326236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6536 S MCCARRAN BLVD STE B",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895096152",
            "telephone_number": "775-982-8255",
            "fax_number": "775-982-8251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOONG",
        "first_name": "JUDY",
        "middle_name": "CHEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-14",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NV",
            "license": "26155",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NV",
            "license": "26155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH NUMBER",
            "identifier": "15187873",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NV MD LIC",
            "identifier": "26155",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.