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DR. BAN DUC DOAN M.D
NPI 1346201696
Obstetrics & Gynecology - Gynecology in Garden Grove, CA

Active since March 28, 2006PECOS EnrolledAccepts Medicare Assignment
9191 WESTMINSTER AVE STE 203, GARDEN GROVE, CA 92844(714) 899-2000(714) 899-0051 Get Directions Write a Review

NPPES record last updated: June 16, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Ban Duc Doan M.d NPPES

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

DR. BAN DUC DOAN M.D (NPI 1346201696) is an individual gynecology provider in Garden Grove, California, licensed in California (A43454) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Louisiana State University School Of Medicine In New Orleans (1984).

NPPES Registry Identity

NPI1346201696
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameDR. BAN DUC DOANCredential: M.D
Location Address9191 WESTMINSTER AVE STE 203Garden Grove, CA 92844-2751
Mailing Address9191 Westminster Ave Ste 203Garden Grove, CA 92844-2751 · (714) 899-2000 · Fax (714) 899-0051
Phone(714) 899-2000
Fax(714) 899-0051
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1984
Enumeration DateMarch 28, 2006
Last NPPES UpdateJune 16, 2014
✔ NPI 1346201696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in CA · A43454
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
9191 WESTMINSTER AVE STE 203, Garden Grove, CA 92844
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type UnspecifiedA43454CA
MedicaidA434541CA
Medicare UPINE72719CA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ban Duc Doan M.d 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 ID8224182704
PECOS Enrollment IDI20090818000572
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Ban Doan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Ban Duc Doan MD Inc A Professional Corporation
0.1 mi
Specialist
9191 WESTMINSTER AVE STE 206
Garden Grove, CA 92844
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1255562641 (714) 899-2000
Dao Medical Group Inc
0.1 mi
Internal Medicine
9191 WESTMINSTER AVE
Garden Grove, CA 92844
  • Reassigned Medicare billing, California enrollment
  • 22 clinicians in this Medicare group
NPI 1073957239 (714) 899-2000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
69 services62 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
33 services33 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
33 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92844 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ban Doan's NPI number?

The NPI number for Ban Doan is 1346201696. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Where is Ban Doan located?

Ban Doan practices at 9191 Westminster Ave Ste 203, Garden Grove, CA 92844. The listed phone number is (714) 899-2000.

What is Ban Doan's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Ban Doan enrolled in Medicare?

Yes. Ban Doan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ban Doan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ban Doan reassigns Medicare benefits to 2 organizations: Ban Duc Doan MD Inc A Professional Corporation (Garden Grove, CA) and Dao Medical Group Inc (Garden Grove, CA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ban Doan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ban Doan was last updated on June 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.