Active NPI
Donna Sue Dolle, M.D.
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1962499244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- J6407
- Practice address
- 2020 Nasa Pkwy
Suite 290
Houston, TX 77058-3683 - Phone
- (281) 335-7588
- Fax
- (281) 335-7598
- NPI assigned
- Oct 3, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | J6407 | TX | Primary |
Addresses
Primary practice location
2020 Nasa Pkwy
Suite 290
Houston, TX 77058-3683
Mailing address
2020 Nasa Pkwy
Suite 290
Houston, TX 77058-3683
Phone (281) 335-7588
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 8, 2013 through Jan 8, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| J6407 | TX | MD | Internal Medicine Physician |
Interoperability endpoints
- donna.dolle@336009823649796.direct.elationemr.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1315440000000",
"number": "1962499244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 NASA PKWY",
"address_2": "SUITE 290",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583683",
"telephone_number": "281-335-7588",
"fax_number": "281-335-7598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2020 NASA PKWY",
"address_2": "SUITE 290",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770583683",
"telephone_number": "281-335-7588",
"fax_number": "281-335-7598"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOLLE",
"first_name": "DONNA",
"middle_name": "SUE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-03",
"last_updated": "2011-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "J6407",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
- Woodrow V Dolino, MD
- Tatyana Doll, CSA
- Dollar RX Inc (Dollar Rx Pharmacy)
- Dollar Value Pharmacy
- Dollarhide Industrial Response Team L.L.C. (Dollarhide Emergency Services)
- Clyde Collom Dollens, DDS
- Jamie Nicole Elizabeth Dolley, DPT, PT
- Jennifer Dolomon
- Dolon Das, M.D., P.a.
- Dolrac Healthcare Services, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2011; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.