JACK DOENGES MD
NPI 1790305605
Student in an Organized Health Care Education/Training Program in Minneapolis, MN
About Jack Doenges Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK DOENGES MD (NPI 1790305605) is an individual student in an organized health care education/training program in Minneapolis, Minnesota and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with M Health Fairview Southdale Hospital, and is a graduate of University Of Minnesota Medical School (2020).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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
Jack Doenges Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Jack Doenges reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Saint Paul, MN 55104
- Reassigned Medicare billing, Minnesota enrollment
- 2,361 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
M Health Fairview Southdale Hospital
Acute Care Hospitals · Edina, MNM Health Fairview University Of Mn
Acute Care Hospitals · Minneapolis, MNFairview Northland Regional Hospital
Acute Care Hospitals · Princeton, MNM Health Fairview Ridges Hospital
Acute Care Hospitals · Burnsville, MNM Health Fairview St John's Hospital
Acute Care Hospitals · Maplewood, MNOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
MINNEAPOLIS, MN 55455
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 Jack Doenges's NPI number?
The NPI number for Jack Doenges is 1790305605. It was assigned to this individual provider in the NPPES registry on April 21, 2020.
Where is Jack Doenges located?
Jack Doenges practices at 420 Delaware Street SE Mmc 195, Minneapolis, MN 55455. The listed phone number is (612) 301-9433.
What is Jack Doenges's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Jack Doenges enrolled in Medicare?
Yes. Jack Doenges 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 Jack Doenges's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jack Doenges reassigns Medicare benefits to 3 organizations: Fairview Express Care (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and Healtheast Medical Research Institute (Saint Paul, MN). 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 Jack Doenges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jack Doenges accept?
Health plans from HealthPartners and Medica list Jack Doenges as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Jack Doenges affiliated with any hospitals?
According to CMS data, Jack Doenges is affiliated with M Health Fairview Southdale Hospital, M Health Fairview University Of Mn, Fairview Northland Regional Hospital, M Health Fairview Ridges Hospital and M Health Fairview St John's Hospital.
When was this NPI record last updated?
The NPPES record for Jack Doenges was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Jack Doenges, MD · NPI 1790305605
Student in an Organized Health Care Education/Training Program provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since April 21, 2020.
## Identity
- **NPI:** 1790305605 (Entity type: Individual)
- **Enumerated:** April 21, 2020
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 420 DELAWARE STREET SE, MMC 195, Minneapolis, MN 55455-0341
- **Phone:** (612) 301-9433
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1629224258, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); Healtheast Medical Research Institute (NPI 1508191552, Saint Paul, MN) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Minnesota Medical School, class of 2020
## Record status
- **NPPES last updated:** April 21, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1790305605) · Data from the CMS NPPES public registry.