Individual provider Active NPI

John T Dugan II, MD FAAO PA

  • Ophthalmology Physician
  • Corpus Christi, TX
National Provider Identifier
1356340574
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
E1306 Issued in TX
Practice address
900 Morgan Ave
Corpus Christi, TX 78404-2028
Phone
(361) 888-4288
Fax
(361) 888-4293
NPI assigned
Jul 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X E1306 TX Primary

Addresses

Primary practice location

900 Morgan Ave
Corpus Christi, TX 78404-2028

Mailing address

PO Box 3827
Corpus Christi, TX 78463-3827
Phone (361) 884-8878

Other identifiers 3

IdentifierTypeStateIssuer
PO84V0704MedicaidTX
74-2683083OtherTXTAX ID
742021064OtherTXTAX ID

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100108000185 TX Practitioner - Ophthalmology 8123181260 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jacob J Moore MD PAGroup PAC ID 8325196363, 6 clinicians

Practice addresses (Care Compare)

900 Morgan Ave
Corpus Christi, TX 78404-2028
Phone (361) 888-4288

Merit-based Incentive Payment System (MIPS)

Final score
87.25 of 100Reported as group
Quality
80.74
Improvement activities
40
Cost
83.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E1306TXMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jacob J Moore MD PA Ophthalmology CurrentSince Aug 1, 2020 Accepting new patients
Coastal Bend Ambulatory Surgical Center Inc. CurrentSince Sep 20, 2022 Accepting new patients

Locations

900 Morgan Ave
Corpus Christi, TX 78404
Phone (361) 888-4288

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1356340574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3827",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784633827",
            "telephone_number": "361-884-8878",
            "fax_number": "361-884-2020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MORGAN AVE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042028",
            "telephone_number": "361-888-4288",
            "fax_number": "361-888-4293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGAN",
        "first_name": "JOHN",
        "middle_name": "T",
        "name_suffix": "II",
        "credential": "MD FAAO PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-19",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "E1306",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO84V0704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "74-2683083",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "742021064",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.