Haneol Sam Jeong, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

S9718 Issued in TX

Practice address

5655 W Spring Creek Pkwy Ste 105
Plano, TX 75024-4176

Phone

(214) 919-3500

Fax

(214) 919-3501

NPI assigned

Mar 30, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Dermatology

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

PDP of Texas, PLLCGroup PAC ID 2466455050, 61 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

83.77 of 100Reported as group

Quality

85.23

Promoting interoperability

85

Improvement activities

40

Cost

73.15

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hsjeong@woodlandsderm.emadirect.md

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.

• PDP of Texas, PLLC

  • Dermatology Physician
  • Dallas, TX
  • NPI 1629025739
  Medicare reassignment Care Compare group NPD
• The Woodlands Dermatology Associates PA

  • Dermatology Physician
  • The Woodlands, TX
  • NPI 1619919958
  Medicare reassignment NPD
• Apex Dermatopathology LLC

  • Clinical Medical Laboratory
  • Dallas, TX
  • NPI 1215364443
  NPD (past)
• Pediatric Dermatology of No. TX

  • Pediatric Dermatology Physician
  • Grapevine, TX
  • NPI 1487060679
  NPD (past)

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

{
    "created_epoch": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753747200000",
    "number": "1326401035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9900 N CENTRAL EXPY STE 500",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752310928",
            "telephone_number": "214-987-3376",
            "fax_number": "469-532-0273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5655 W SPRING CREEK PKWY STE 105",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750244176",
            "telephone_number": "214-919-3500",
            "fax_number": "214-919-3501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8080 Independence Pkwy Ste 150",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750254006",
            "country_code": "US",
            "telephone_number": "214-919-3500",
            "fax_number": "214-842-8055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 N Washington Ave Ste 4000",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752461776",
            "country_code": "US",
            "telephone_number": "214-987-3376",
            "fax_number": "469-532-0273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10711 Preston Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752303805",
            "country_code": "US",
            "telephone_number": "214-987-3376",
            "fax_number": "469-532-0273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12700 Park Central Dr Ste B150",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752511500",
            "country_code": "US",
            "telephone_number": "214-987-3376",
            "fax_number": "469-532-0273",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEONG",
        "first_name": "HANEOL",
        "middle_name": "SAM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2025-07-29",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0900X",
            "taxonomy_group": "",
            "desc": "Dermatology, Dermatopathology",
            "state": "TX",
            "license": "S9718",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "S9718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Jensen
• Kyle Wesley Jensen, D.C.
• Morgan Ellen Jensen, RDN
• Nancy C Jensen, LCSW
• Seoyoung Jeon
• Jeremiah Graff DPM P a
• Crystal N Jesko
• Hebah Jetpuri
• Gary Kimble Jett, M.D.
• Jewel Ahmed Hospitalist PLLC

• Dermatology Physician in Plano, TX
• Providers in Plano, TX by specialty
• Dermatology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2025; 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.