Individual provider Active NPI

Da-Shu Jiang, MD

  • Surgery Physician
  • Dallas, TX
National Provider Identifier
1649562109
Registry record updated Dec 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
Q7566 Issued in TX
Practice address
7777 Forest LN Ste A331
Dallas, TX 75230-2538
Phone
(972) 566-7860
Fax
(972) 566-6673
NPI assigned
May 3, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2025

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 Q7566 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste A331
Dallas, TX 75230-2538

Mailing address

7777 Forest LN Ste A331
Dallas, TX 75230-2538
Phone (972) 566-7860

Other identifiers 2

IdentifierTypeStateIssuer
369744301MedicaidTX
369745001MedicaidTX

Other names 1

  • Dr. Sue Jiang Other name

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
I20160909002089 TX Practitioner - General Surgery 0749507986 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Texas a & M University System, HSC, College of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7777 Forest LN
Suite A331
Dallas, TX 75230-2538
Phone (972) 566-7860

Hospital & facility affiliations

  • Texas Health Presbyterian Hospital Plano Hospital, Plano, TX, CCN 450771
  • Medical City Dallas Hospital Hospital, Dallas, TX, CCN 450647

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Da-Shu Jiang M.D., P.a. Surgery CurrentSince Sep 1, 2016 Accepting new patients
Trauma Consultants of Dallas PLLC Surgery Current Accepting new patients

Locations

7777 Forest Ln
Ste A214
Dallas, TX 75230
Phone (972) 566-7860

7777 Forest Ln
Ste A331
Dallas, TX 75230
Phone (972) 566-2734

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.

Hospital & facility affiliations 3

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": "1304380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1766102400000",
    "number": "1649562109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE A331",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302538",
            "telephone_number": "972-566-7860",
            "fax_number": "972-566-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE A331",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752302538",
            "telephone_number": "972-566-7860",
            "fax_number": "972-566-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIANG",
        "first_name": "DA-SHU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-03",
        "last_updated": "2025-12-19",
        "certification_date": "2025-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "Q7566",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369744301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "369745001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUE",
            "last_name": "JIANG",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.