Individual provider Active NPI

Dennis Jung Hwan Choi, M.D.

  • Surgery Physician
  • Odessa, TX
National Provider Identifier
1255728671
Registry record updated Jun 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
T1326 Issued in TX
Practice address
540 W 5TH St Ste 340
Odessa, TX 79761-5036
Phone
(432) 640-3445
NPI assigned
Apr 23, 2015
Last updated
Jun 12, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2024

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 T1326 TX Primary

Addresses

Primary practice location

540 W 5TH St Ste 340
Odessa, TX 79761-5036

Mailing address

4500 Cass Ave
Apt 705
Detroit, MI 48201-1288
Phone (917) 435-3757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 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
I20210721000667 TX Practitioner - General Surgery 7719292838 Reassigns benefits to 3 organizations
I20250408001171 GA Practitioner - General Surgery 7719292838 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCH TraumacareGroup PAC ID 4486036662, 4 clinicians

Practice addresses (Care Compare)

540 W 5TH St
Suite 340
Odessa, TX 79761-5036
Phone (432) 640-3445

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T1326TXMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MCH Traumacare Surgery CurrentSince Feb 25, 2024 Accepting new patients
Surgery Associates of North Texas P a Surgery Current Accepting new patients
Surgery Associates of NTX, PLLC Surgery CurrentSince May 1, 2024 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Texas Trauma Medical Group, PLLC CurrentSince Apr 1, 2024 Accepting new patients
Wellstar Medical Group, LLC CurrentSince Apr 1, 2025 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

515 W Mayfield Rd
Ste 301
Arlington, TX 76014
Phone (682) 274-8350

3301 Matlock Rd
Arlington, TX 76015
Phone (682) 509-6200

100 E Alton Gloor Blvd
Ste 210
Brownsville, TX 78526
Phone (956) 350-7105

3537 S Interstate 35 E
Ste 318
Denton, TX 76210
Phone (214) 334-1125

3322 Colorado Blvd
Ste 101
Denton, TX 76210
Phone (817) 387-7588

3537 S Interstate 35 E
Ste 200
Denton, TX 76210
Phone (940) 384-4595

101 Rim Rd
Ste 300B
El Paso, TX 79902
Phone (915) 263-7080

10201 Gateway Blvd W
Ste 130
El Paso, TX 79925
Phone (915) 594-1000

4510 Medical Center Dr
Ste 301
McKinney, TX 75069
Phone (469) 608-4980

4500 Medical Center Dr
McKinney, TX 75069
Phone (972) 547-8190

540 W 5th St
Ste 340
Odessa, TX 79761
Phone (432) 335-0210

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

4001 W 15th St
Ste 340
Plano, TX 75093
Phone (972) 202-7080

4401 Booth Calloway Rd
Richland Hls, TX 76180
Phone (817) 255-1000

Interoperability endpoints

  • Direct secure messaging: dennis.choi@hca7.eclinicaldirectplus.com

Organizations & group practices 6

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 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": "1429747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1255728671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 CASS AVE",
            "address_2": "APT 705",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482011288",
            "telephone_number": "917-435-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 W 5TH ST STE 340",
            "city": "ODESSA",
            "state": "TX",
            "postal_code": "797615036",
            "telephone_number": "432-640-3445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "DENNIS",
        "middle_name": "JUNG HWAN",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-23",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "T1326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Odessa, TX

Sources for this page

Verify at the official NPI Registry.