Individual provider Active NPI

Monica Xiaomeng Du, MD

  • Pediatrics Physician
  • Madera, CA
National Provider Identifier
1619383619
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A147285 Issued in CA
Practice address
124 S a St
Madera, CA 93638-3619
Phone
(559) 664-4000
NPI assigned
Jul 10, 2014
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 4301105574 MI
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A147285 CA Primary

Addresses

Primary practice location

124 S a St
Madera, CA 93638-3619

Mailing address

124 S a St
Madera, CA 93638-3619
Phone (559) 664-4000

Other practice location 1

22201 Moross Rd, PB2 suite 70
Detroit, MI 48236
Phone (313) 343-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20180605001447 CA Practitioner - Pediatric Medicine 0143585554 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A147285CAMDPediatrics Physician
4301105574MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Camarena Health CurrentSince Apr 23, 2018 Accepting new patients
Camarena Health CurrentSince Apr 23, 2018 Accepting new patients
Camarena Health Multi-Specialty Current Accepting new patients

Locations

124 S A St
Madera, CA 93638
Phone (559) 664-4042

49169 Road 426
Oakhurst, CA 93644
Phone (559) 642-6724

Interoperability endpoints

  • Direct secure messaging: mdu433870@direct.hfhs.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1619383619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S A ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383619",
            "telephone_number": "559-664-4000",
            "fax_number": "559-674-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S A ST",
            "city": "MADERA",
            "state": "CA",
            "postal_code": "936383619",
            "telephone_number": "559-664-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "22201 Moross Rd, PB2 suite 70",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "48236",
            "country_code": "US",
            "telephone_number": "313-343-3800",
            "fax_number": "313-343-4756",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DU",
        "first_name": "MONICA",
        "middle_name": "XIAOMENG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301105574",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A147285",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madera, CA

Sources for this page

Verify at the official NPI Registry.