JACQUELINE G. DY MD
NPI 1790859304
Internal Medicine - Endocrinology, Diabetes & Metabolism in Clovis, CA

Q: What is Jacqueline Dy's NPI number?

The NPI number for Jacqueline Dy is 1790859304. It was assigned to this individual provider in the NPPES registry on November 17, 2006.

Q: What is Jacqueline Dy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Jacqueline Dy was last updated on December 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since November 17, 2006PECOS Enrolled

2071 HERNDON AVE, CLOVIS, CA 93611(559) 324-5100 Get Directions Write a Review

NPPES record last updated: December 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jacqueline G. Dy Md NPPES

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

JACQUELINE G. DY MD (NPI 1790859304) is an individual endocrinology, diabetes & metabolism provider in Clovis, California, licensed in California (A52435) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790859304

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameJACQUELINE G. DYCredential: MD

Location Address2071 HERNDON AVEClovis, CA 93611-6101

Mailing Address1800 Harrison St Fl 7Oakland, CA 94612-3466 · (510) 625-6262

Phone(559) 324-5100

Sole ProprietorNo

Enumeration DateNovember 17, 2006

Last NPPES UpdateDecember 6, 2021

✔ NPI 1790859304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in CA · A52435

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

2071 HERNDON AVE, Clovis, CA 93611

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Other Identifiers 1

Medicaid00A524350CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline G. Dy Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93611 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

$133.94 typical visit price

range $58.87 – $176.60

Typical copayment $33.48 (range $14.71 – $44.15)

Most-billed visit code 99204

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

RAVNEET KAUR THIND DO

Obstetrics & Gynecology (Obstetrics)