Jimmy Dung Doan, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

L7357 Issued in TX

Practice address

5413 Crenshaw Rd
Ste 333
Pasadena, TX 77505-3164

Phone

(832) 230-8721

Fax

(832) 850-6022

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Specialty

Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jdoan468668@direct.stlukeshealth.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.

• The Doan & Vo Clinic, P.a.

  • Primary Care Clinic/Center
  • Pasadena, TX
  • NPI 1760609754
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554076800000",
    "number": "1225042914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5413 CRENSHAW RD",
            "address_2": "STE 333",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053164",
            "telephone_number": "832-230-8721",
            "fax_number": "832-850-6022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5413 CRENSHAW RD",
            "address_2": "STE 333",
            "city": "PASADENA",
            "state": "TX",
            "postal_code": "775053164",
            "telephone_number": "832-230-8721",
            "fax_number": "832-850-6022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOAN",
        "first_name": "JIMMY",
        "middle_name": "DUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2019-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L7357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "8K5140",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173118401",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "172872701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisol Diggs
• Milca Dimanche
• Diverse Recovery
• Mylene Santos Dizon
• DK Sanders, PSYD & Associates, Inc.
• George Dale Dodd, DDS
• Kristi Rene Dodson-Conner, FNP-BC
• Joan Vicencio Domingo, MD
• San Juanita Dominguez, M.S., SLP INTERN
• Joanna Elizabeth Dong

• Specialist in Pasadena, TX
• Providers in Pasadena, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2019; 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.