Individual provider Active NPI

Jinhee Choi, M.D.

  • Otolaryngology Physician
  • Dallas, TX
National Provider Identifier
1700836442
Registry record updated Nov 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
Q0617 Issued in TX
Practice address
3450 W Wheatland Rd
Pav II Ste#443
Dallas, TX 75237-3470
Phone
(972) 572-3300
Fax
(972) 572-4400
NPI assigned
May 11, 2006
Last updated
Nov 14, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 2010-00715 NC
Otolaryngology Physician 207Y00000X Q0617 TX Primary

Addresses

Primary practice location

3450 W Wheatland Rd
Pav II Ste#443
Dallas, TX 75237-3470

Mailing address

3450 W Wheatland Rd
Pav II Ste#443
Dallas, TX 75237-3470
Phone (972) 572-3300

Other identifiers 1

IdentifierTypeStateIssuer
8EL067OtherTXBLUE CROSS AND BLUE SHIELD OF TEXAS

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
I20140904001209 TX Practitioner - Otolaryngology 6709918766 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Wisconsin School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MedhealthGroup PAC ID 9931001567, 435 clinicians

Practice addresses (Care Compare)

3450 W Wheatland Rd
Suite 443
Dallas, TX 75237-4430
Phone (972) 572-3300

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2010-00715NCMDOtolaryngology Physician
Q0617TXMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Aug 4, 2014 Accepting new patients
Medhealth CurrentSince Aug 4, 2014 Accepting new patients
Advanced Pain & Rehabilitation Association PLLC Past Accepting new patients

Locations

3400 W Wheatland Rd
Ste 360
Dallas, TX 75237

3450 W Wheatland Rd
Ste 443
Dallas, TX 75237
Phone (972) 572-3300

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

613 S Highway 78
Wylie, TX 75098
Phone (972) 941-8700

Interoperability endpoints

  • Direct secure messaging: jchoi14319@dm.mhd.com

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.

Hospital & facility affiliations 1

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415923200000",
    "number": "1700836442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 W WHEATLAND RD",
            "address_2": "PAV II STE#443",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373470",
            "telephone_number": "972-572-3300",
            "fax_number": "972-572-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3450 W WHEATLAND RD",
            "address_2": "PAV II STE#443",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373470",
            "telephone_number": "972-572-3300",
            "fax_number": "972-572-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOI",
        "first_name": "JINHEE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-11",
        "last_updated": "2014-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2010-00715",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "TX",
            "license": "Q0617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD OF TEXAS",
            "identifier": "8EL067",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.