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JACK DOENGES MD
NPI 1790305605
Student in an Organized Health Care Education/Training Program in Minneapolis, MN

Active since April 21, 2020PECOS EnrolledAccepts Medicare Assignment
420 DELAWARE STREET SE, MMC 195, MINNEAPOLIS, MN 55455(612) 301-9433 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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

NPI1790305605
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJACK DOENGESCredential: MD
Location Address420 DELAWARE STREET SE, MMC 195Minneapolis, MN 55455-0341
Mailing Address420 Delaware Street Se, Mmc 195Minneapolis, MN 55455-0341
Phone(612) 301-9433
Sole ProprietorYes
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2020
Enumeration DateApril 21, 2020
NPPES CertifiedApril 21, 2020
✔ NPI 1790305605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

420 DELAWARE STREET SE, Minneapolis, MN 55455
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

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

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.

PECOS PAC ID2365942802
PECOS Enrollment IDI20250820003490
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.

Hospital Affiliations CMS Care Compare

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, MN
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number240078
Location6401 France Avenue SouthEdina, MN 55435 · Hennepin County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

HEATHER A THOMPSON BUUM MD
Internal Medicine
420 DELAWARE STREET SE, UNIVERSITY OF MINNESOTA PHYSICIANS
MINNEAPOLIS, MN 55455
Hennepin County (612) 884-0999
DR. ANTHONY A KILLEEN MD
Pathology (Clinical Pathology/Laboratory Medicine)
420 DELAWARE STREET SE, 760 MAYO MEMORIAL BUILDING
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-5443
MICHAEL WILLIAMS STEFFES MD
Pathology (Clinical Pathology/Laboratory Medicine)
420 DELAWARE STREET SE, ROOM 760 MAYO MEMORIAL BUILDING
MINNEAPOLIS, MN 55455
Hennepin County (612) 626-0622
MEGAN CLINTON M.D.
Anesthesiology
420 DELAWARE STREET SE, B515 MAYO MEMORIAL BUILDING, MMC 294
MINNEAPOLIS, MN 55455
Hennepin County (612) 624-9990
UNIVERSITY OF MINNESOTA
General Acute Care Hospital
420 DELAWARE STREET SE, MAYO MAIL CODE 293
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-7634
DR. REBECCA JANE MITCHARD M.D.
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, MMC 284 14-100 PHILLIPS-WANGENSTEEN BLDG
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-7634
NEUROLOGY LTD.
Clinical Medical Laboratory
420 DELAWARE STREET SE
MINNEAPOLIS, MN 55455
Hennepin County (612) 625-1431
ROBERT WU M.D.
Student in an Organized Health Care Education/Training Program
420 DELAWARE STREET SE, PHILLIPS-WANGENSTEEN BUILDING 11-145E, MMC195
MINNEAPOLIS, MN 55455
Hennepin County (612) 301-9433

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.

What insurance does Jack Doenges accept?

Health plans from HealthPartners 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.

When was this NPI record last updated?

The NPPES record for Jack Doenges was last updated on April 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.