Dorian Louis Jimenez, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

2397 Issued in TX

Practice address

1940 Hwy 114 Suite 150
Southlake, TX 76092

Phone

(817) 424-3668

Fax

(817) 442-8637

NPI assigned

Sep 23, 2005

Reactivated

Mar 30, 2006

Last updated

Jul 17, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Podiatry

Education

Temple University School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ankle and Foot Centers of Georgia, LLCGroup PAC ID 8022295294, 52 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Piedmont Walton Hospital Hospital, Monroe, GA, CCN 110046

Merit-based Incentive Payment System (MIPS)

Final score

91.6 of 100Reported as group

Quality

88.21

Promoting interoperability

100

Improvement activities

40

Cost

83.78

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jimenez.dorian.017.0430232@as.meditab.direct-ci.com

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.

• Ankle and Foot Centers of Georgia, LLC

  • Foot & Ankle Surgery Podiatrist
  • Peachtree City, GA
  • NPI 1992003479
  Medicare reassignment Care Compare group
• Georgia Ambulatory Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Snellville, GA
  • NPI 1205374022
  NPD Authorized official
• Academy Foot & Ankle Specialists, P.a.

  dba Academy Foot & Ankle Specialists

  • Podiatrist
  • Southlake, TX
  • NPI 1356541346
  NPD
• Blue Water Anesthesia, LLC

  • Certified Registered Nurse Anesthetist
  • Snellville, GA
  • NPI 1801291646
  NPD
• A. Louis Jimenez, DPM, PC

  dba Gwinnett Foot, Ankle and Leg Center

  • Foot & Ankle Surgery Podiatrist
  • Duluth, GA
  • NPI 1346568631
  NPD (past)
• Ankle and Foot Center of Georgia,LLC

  • Podiatrist
  • Lagrange, GA
  • NPI 1750436127
  NPD (past)

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

• Piedmont Walton Hospital Inc

  • General Acute Care Hospital
  • Monroe, GA
  • NPI 1720589328
  Care Compare affiliation

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1952397119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1940 HWY 114 SUITE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760923084",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1940 HWY 114 SUITE 150",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "76092",
            "telephone_number": "817-424-3668",
            "fax_number": "817-442-8637"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2295 Parklake Dr NE Ste 150",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303452825",
            "country_code": "US",
            "telephone_number": "770-938-5974",
            "fax_number": "770-939-7393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3840 Peachtree Industrial Blvd",
            "address_2": "Suite 200",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300965031",
            "country_code": "US",
            "telephone_number": "770-979-0900",
            "fax_number": "770-979-2852",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11459 Johns Creek Pkwy Ste 260",
            "address_purpose": "LOCATION",
            "city": "Johns Creek",
            "state": "GA",
            "postal_code": "300973517",
            "country_code": "US",
            "telephone_number": "770-232-5030",
            "fax_number": "770-495-9993",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "DORIAN",
        "middle_name": "LOUIS",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2019-07-17",
        "deactivation_date": "2006-03-24",
        "reactivation_date": "2006-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD000998",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2397",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "000998",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "582964905A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00427172",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mia Jacole Jennings
• Miranda Jensen
• Myka Jenson, RBT
• Jerry W Morris PA
• Jet Dental of Texas, PLLC
• Emily M Jimenez, PHD, LP, NCSP, MED
• Mona Lisa Jimenez, PMHNP-BC
• Jeanne Marsh Joglar, MD
• John Ryan Price, D.C., P.a. (Premier Chiropractic of Southlake)
• Abigail Grace John, APRN, FNP-BC, NP-C

• Podiatrist in Southlake, TX
• Providers in Southlake, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.