Active NPI
Jenny Yi Wei Dong, DO
- Family Medicine Physician
- Houston, TX
National Provider Identifier
1972122174
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- U6225
- Practice address
- 13930 Bellaire Blvd
Houston, TX 77083-1719 - Phone
- (713) 773-0803
- NPI assigned
- Apr 9, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 11021016A | IN | |
| Family Medicine Physician | 207Q00000X | U6225 | TX | Primary |
Addresses
Primary practice location
13930 Bellaire Blvd
Houston, TX 77083-1719
Mailing address
13930 Bellaire Blvd
Houston, TX 77083-1719
Phone (713) 773-0803
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdong479029@Direct.FranciscanAlliance.org | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230915003378 | TX | Practitioner - Family Practice | 6507288701 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7001 Corporate Dr
Suite 120
Houston, TX 77036-5113
Phone (713) 773-0803
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Asian American Health Coalition of the Greater Houston Area | Current | Accepting new patients | |
| Asian American Health Coalition of the Greater Houston Area | Current | Accepting new patients | |
| Asian American Health Coalition of the Greater Houston Area | Current | Accepting new patients |
Locations
7001 Corporate Dr
Ste 120
Houston, TX 77036
Phone (713) 333-7273
13930 Bellaire Blvd
Houston, TX 77083
Phone (713) 333-7273
Interoperability endpoints
- jenny.dong@aahc.eclinicaldirectplus.com
- jdong479029@direct.franciscanalliance.org
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 and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1699966754
TX
-
- Pharmacy
- Houston, TX
- NPI 1174236632
-
- Federally Qualified Health Center (FQHC)
- Houston, TX
- NPI 1972239341
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693440000000",
"number": "1972122174",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13930 BELLAIRE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770831719",
"telephone_number": "713-773-0803",
"fax_number": "713-271-5422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13930 BELLAIRE BLVD",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770831719",
"telephone_number": "713-773-0803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DONG",
"first_name": "JENNY",
"middle_name": "YI WEI",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-09",
"last_updated": "2023-08-31",
"certification_date": "2023-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "IN",
"license": "11021016A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "U6225",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jdong479029@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "5230 E Stop 11 Rd Ste 250",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "462376399",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.