JUDY ANN DAO - NPI 1104507391 - Nurse Practitioner in Grand Prairie, TX

Q: What is Judy Dao's NPI number?

The NPI number for Judy Dao is 1104507391. It was assigned to this individual provider in the NPPES registry on July 31, 2023.

Q: What is Judy Dao's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Judy Dao was last updated on July 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

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About Judy Ann Dao NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUDY ANN DAO (NPI 1104507391) is an individual family provider in Grand Prairie, Texas, licensed in Texas (1130095) and active in the NPI registry since July 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104507391

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameJUDY ANN DAO

Location Address4927 LAKE RIDGE PKWY STE 148Grand Prairie, TX 75052-3000

Mailing Address4927 Lake Ridge Pkwy Ste 148Grand Prairie, TX 75052-3000 · (972) 217-4203

Phone(972) 217-4203

Sole ProprietorYes

Medical School CMSOtherGraduated 2022

Enumeration DateJuly 31, 2023

NPPES CertifiedJuly 30, 2023

✔ NPI 1104507391 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · 1130095

4927 LAKE RIDGE PKWY STE 148, Grand Prairie, TX 75052

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Judy Ann Dao is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2860973435

PECOS Enrollment IDI20260221000375

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75052 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$88.19 typical visit price

range $57.18 – $172.86

Typical copayment $22.04 (range $14.29 – $43.21)

Most-billed visit code 99203

Established Patient

$100.80 typical visit price

range $18.48 – $141.20

Typical copayment $25.20 (range $4.62 – $35.30)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OLUWATOSIN B AJIBOLA

Nurse Practitioner (Family)