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DR. MITCHELL DONGJUN IMM M.D.
NPI 1790731230
Pediatrics - Neonatal-Perinatal Medicine in Austin, TX

Active since May 26, 2006PECOS Enrolled
10647 BRAMBLECREST DR, AUSTIN, TX 78726(512) 906-1974 Get Directions Write a Review

NPPES record last updated: September 2, 2008. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Mitchell Dongjun Imm M.d. NPPES

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

DR. MITCHELL DONGJUN IMM M.D. (NPI 1790731230) is an individual neonatal-perinatal medicine provider in Austin, Texas, licensed in North Carolina (200200707) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790731230
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MITCHELL DONGJUN IMMCredential: M.D.
Location Address10647 BRAMBLECREST DRAustin, TX 78726-1906
Mailing Address10647 Bramblecrest DrAustin, TX 78726-1906 · (512) 906-1974
Phone(512) 906-1974
Sole ProprietorNo
Enumeration DateMay 26, 2006
Last NPPES UpdateSeptember 2, 2008
✔ NPI 1790731230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in NC · 200200707
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 200200707 (NC)
10647 BRAMBLECREST DR, Austin, TX 78726
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Other Identifiers 5

Medicaid89131UTNC
Medicare UPINH60904
OtherD8866NC · Medcost
Other7355461NC · Aetna
Other131UTNC · Bcbs Nc

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mitchell Dongjun Imm M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Mitchell Imm reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pediatrix Medical Group Of Texas Billing, Inc.
143 mi
Neonatal-Perinatal Medicine
2929 WOODLAND PARK DR
Houston, TX 77082
  • Reassigned Medicare billing, Texas enrollment
  • 508 clinicians in this Medicare group
NPI 1649377359 (281) 293-7774

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

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 Mitchell Imm's NPI number?

The NPI number for Mitchell Imm is 1790731230. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Mitchell Imm located?

Mitchell Imm practices at 10647 Bramblecrest Dr, Austin, TX 78726. The listed phone number is (512) 906-1974.

What is Mitchell Imm's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mitchell Imm enrolled in Medicare?

Yes. Mitchell Imm is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mitchell Imm's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mitchell Imm reassigns Medicare benefits to Pediatrix Medical Group Of Texas Billing, Inc. (Houston, TX). The 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 Mitchell Imm's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mitchell Imm accept?

Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor Health, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Mitchell Imm 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.

When was this NPI record last updated?

The NPPES record for Mitchell Imm was last updated on September 2, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.