DR. DANIQUE LYSANNE VANDONGEN MD NPI 1003009986
Specialist in Katy, TX
About DANIQUE VANDONGEN
Danique Vandongen is a provider established in Katy, Texas and her medical specialization is specialist with more than 19 years of experience. The NPI number of Danique Vandongen is 1003009986 and was assigned on August 2007. The practitioner's primary taxonomy code is 174400000X with license number M6929 (TX). The provider is registered as an individual and her NPI record was last updated June 2021.
Danique Vandongen is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices
Danique Vandongen is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Columbus Community Hospital.
| NPI | 1003009986 |
| Provider Name | DR. DANIQUE LYSANNE VANDONGEN MD |
| Provider Location Address | 23331 GRAND RESERVE DR KATY, TX 77494 |
| Provider Mailing Address | PO BOX 520 KATY, TX 77492 |
| Gender | Female |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Is Sole Proprietor? | No |
| Is Organization Subpart? | N/A |
| Enumeration Date | 08-23-2007 |
| Last Update Date | 06-28-2021 |
Primary Taxonomy
| Taxonomy Code | 174400000X |
| Classification | Specialist |
| Type | Other Service Providers |
| License No. | M6929 |
| License State | TX |
| Taxonomy Description | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Business Address
DR. DANIQUE LYSANNE VANDONGEN MD
23331 GRAND RESERVE DR
KATY, TX
ZIP 77494
Phone: (281) 505-3500
Fax: (281) 505-3895
Mailing Address
DR. DANIQUE LYSANNE VANDONGEN MD
PO BOX 520
KATY, TX
ZIP 77492
Phone: (281) 583-6700
Fax: (281) 505-3895
Medicare Participation
Hospital Affiliations
Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Danique Vandongen is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | CMS Certification Number (CCN) | Overall Rating |
|---|---|---|---|---|---|
| COLUMBUS COMMUNITY HOSPITAL | 110 SHULT DR COLUMBUS, TX 78934 | (979) 732-2371 | Acute Care Hospitals | 450370 |
Other Providers at the same location
The following 2 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1033760400 | AARON MONIOTTE PHARMD Individual | Pharmacist | 23331 GRAND RESERVE DR KATY, TX 77494 (281) 505-3572 |
| 1619542206 | B&SK HOLDINGS PLLC Organization | Physical Medicine & Rehabilitation | 23331 GRAND RESERVE DR KATY, TX 77494 (281) 505-3500 |
NPI Footnotes
What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.
Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date
The date that a NPI record was last updated or changed.
Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.