Active NPI
Martin Donjuan, PA-C
- Physician Assistant
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA19449
- Practice address
- 221 West Colorado Blvd
Pavillion 2, Suite 933
Dallas, TX 75028 - Phone
- (214) 947-3684
- NPI assigned
- Jul 15, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | |||
| Physician Assistant | 363A00000X | PA19449 | TX | Primary |
Addresses
Primary practice location
221 West Colorado Blvd
Pavillion 2, Suite 933
Dallas, TX 75028
Mailing address
221 W. Colorado Blvd. Pavilion II Suite 933
Dallas, TX 75208
Phone (214) 947-3684
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 N Beckley Ave
Dallas, TX 75203-1201
Phone (214) 833-3478
3000 Blackburn St
Suite 130
Dallas, TX 75204-2217
Phone (214) 599-8624
Hospital & facility affiliations
- Methodist Dallas Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medhealth | Current | Accepting new patients | |
| Medhealth | Current | Accepting new patients |
Locations
221 W Colorado Blvd
Ste 933
Dallas, TX 75208
Phone (214) 941-7200
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1912957200
-
- Urgent Care Clinic/Center
- Grand Prairie, TX
- NPI 1558762690
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dallas, TX
- NPI 1528027786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1752537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760659200000",
"number": "1821989963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "221 W. COLORADO BLVD. PAVILION II SUITE 933",
"city": "DALLAS",
"state": "TX",
"postal_code": "75208",
"telephone_number": "214-947-3684"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 WEST COLORADO BLVD",
"address_2": "PAVILLION 2, SUITE 933",
"city": "DALLAS",
"state": "TX",
"postal_code": "75028",
"telephone_number": "214-947-3684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONJUAN",
"first_name": "MARTIN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-15",
"last_updated": "2025-10-17",
"certification_date": "2025-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA19449",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2025; 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.