DR. JONATHAN MARK DUCORE MD, MPH
NPI 1124001417
Pediatrics - Pediatric Hematology-Oncology in Sacramento, CA

Q: What is the provider's specialty?

The provider's specialty is Pediatrics with taxonomy code 2080P0207X and a focus in Pediatric Hematology-Oncology.

Active since November 21, 2005PECOS EnrolledAccepts Medicare Assignment

2521 STOCKTON BLVD, PEDS HEM/ONC CLINIC, 3RD FLOOR, SACRAMENTO, CA 95817(916) 734-2781(916) 734-1357 Get Directions Write a Review

NPPES record last updated: August 24, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Jonathan Mark Ducore Md, Mph NPPES

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

DR. JONATHAN MARK DUCORE MD, MPH (NPI 1124001417) is an individual pediatric hematology-oncology provider in Sacramento, California, licensed in California (G062311) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS and is a graduate of Duke University School Of Medicine (1973).

NPPES Registry Identity

NPI1124001417

Entity TypeIndividualMale

Primary Taxonomy2080P0207X

Provider Legal NameDR. JONATHAN MARK DUCORECredential: MD, MPH

Location Address2521 STOCKTON BLVD, PEDS HEM/ONC CLINIC, 3RD FLOORSacramento, CA 95817-2207

Mailing Address2516 Stockton Blvd, Ticon Ii, 3rd FloorSacramento, CA 95817-2208 · (916) 734-2781 · Fax (916) 451-3014

Phone(916) 734-2781

Fax(916) 734-1357

Sole ProprietorNo

Medical School CMSDuke University School Of MedicineGraduated 1973

Enumeration DateNovember 21, 2005

Last NPPES UpdateAugust 24, 2007

✔ NPI 1124001417 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Hematology-OncologyAllopathic & Osteopathic Physicians

Taxonomy Code2080P0207X

License✔ Licensed in CA · G062311

Definition

A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases.

2521 STOCKTON BLVD, Sacramento, CA 95817

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Other Identifiers 1

Medicare UPINA53685CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jonathan Mark Ducore Md, Mph is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1153641188

PECOS Enrollment IDI20150514002422

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.