David Booty Doherty Jr.

Primary specialty

Adult Reconstructive Orthopaedic Surgery PhysicianTaxonomy code 207XS0114X

License

S0278 Issued in TX

Practice address

5420 West Loop S Ste 2400
Bellaire, TX 77401-2118

Phone

(713) 486-3550

Fax

(713) 314-2990

NPI assigned

Mar 20, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

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

Orthopedic Surgery

Education

University of Texas Medical School at Houston, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ut PhysiciansGroup PAC ID 8426960360, 1,744 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Enhabit Home Health Home health agency, Richmond, TX, CCN 458285
• Memorial Hermann - Texas Medical Center Hospital, Houston, TX, CCN 450068
• Memorial Hermann Sugar Land Hospital Hospital, Sugar Land, TX, CCN 450848
• Memorial Hermann Hospital System Hospital, Houston, TX, CCN 450184
• Memorial Hermann Katy Hospital Hospital, Katy, TX, CCN 450847
• Memorial Hermann Memorial City Hospital Hospital, Houston, TX, CCN 450610

Merit-based Incentive Payment System (MIPS)

Final score

84.11 of 100Reported as group

Quality

69.15

Promoting interoperability

100

Improvement activities

40

Cost

73.63

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ddoherty11656@direct.uth.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.

• Ut Physicians

  • Anesthesiology Physician
  • Houston, TX
  • NPI 1033157821
  Medicare reassignment Care Compare group NPD
• Ut Physicians

  • Health Educator
  • Houston, TX
  • NPI 1316534472
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• DRC Health Systems, LP

  • Home Health Agency
  • Richmond, TX
  • NPI 1174770515
  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1013948553

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1154595155

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • The Woodlands, TX
  • NPI 1275564858

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1275568032

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Sugar Land, TX
  • NPI 1295788735
  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Houston, TX
  • NPI 1407959448

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Houston, TX
  • NPI 1437189115

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Pasadena, TX
  • NPI 1437323482

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Radiology Clinic/Center
  • Friendswood, TX
  • NPI 1508896267

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1588838593

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • Physiological Laboratory
  • Houston, TX
  • NPI 1639343635

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1332201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1528333770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6400 FANNIN ST STE 1700",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770301526",
            "telephone_number": "713-486-7500",
            "fax_number": "713-512-2234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 WEST LOOP S STE 2400",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774012118",
            "telephone_number": "713-486-3550",
            "fax_number": "713-314-2990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Rockmead Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Kingwood",
            "state": "TX",
            "postal_code": "773392107",
            "country_code": "US",
            "telephone_number": "713-486-7400",
            "fax_number": "713-359-2816",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOHERTY",
        "first_name": "DAVID",
        "middle_name": "BOOTY",
        "name_suffix": "Jr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-03-20",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "TX",
            "license": "S0278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diverse Evolution Services LLC
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• Shreenath Vasant Doctor, M.D., PH.D
• Samuel Ross Dodson, M.D.
• Danielle Cherie Dolifka
• Donna D Abramson Inc
• Hannah Moffie Donnelly
• Emily Byrd Donnenfield
• Greg David Doster, CNIM

• Adult Reconstructive Orthopaedic Surgery Physician in Bellaire, TX
• Providers in Bellaire, TX by specialty
• Adult Reconstructive Orthopaedic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.