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JACQUELINE I. DORIS M.D.
NPI 1922090992
Family Medicine in Phoenix, AZ

Active since August 16, 2005PECOS Enrolled
4131 N 24TH ST, B-102, PHOENIX, AZ 85016(602) 955-6632(602) 381-1341 Get Directions Write a Review

NPPES record last updated: September 24, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jacqueline I. Doris M.d. NPPES

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

JACQUELINE I. DORIS M.D. (NPI 1922090992) is an individual family medicine provider in Phoenix, Arizona, licensed in Arizona (24281) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922090992
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJACQUELINE I. DORISCredential: M.D.
Location Address4131 N 24TH ST, B-102Phoenix, AZ 85016-6262
Mailing Address2500 W Utopia Rd, Ste. 100Phoenix, AZ 85027-4171 · (602) 214-6148 · Fax (602) 214-6149
Phone(602) 955-6632
Fax(602) 381-1341
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateSeptember 24, 2013
✔ NPI 1922090992 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in AZ · 24281
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4131 N 24TH ST, Phoenix, AZ 85016
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Other Identifiers 3

Medicare UPING36671AZ
Medicaid358946AZ
Medicare PINZ63198

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacqueline I. Doris 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 Reassignments

2

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

Honorhealth Medical Group, LLC
Same address
Family Medicine
4131 N 24TH ST, SUITE B-102
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 502 clinicians in this Medicare group
NPI 1033104716 (602) 955-6632
Honorhealth Ambulatory
0.8 mi
Orthopaedic Surgery
2222 E HIGHLAND AVE STE 425
Phoenix, AZ 85016
  • Reassigned Medicare billing, Arizona enrollment
  • 822 clinicians in this Medicare group
NPI 1619679677 (602) 687-6640

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85016 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier12 claims24 services$5.06 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims120 services$7.75 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier11 claims660 services$1.53 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

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

HONORHEALTH MEDICAL GROUP, LLC
Family Medicine
4131 N 24TH ST, SUITE B-102
PHOENIX, AZ 85016
Maricopa County (602) 955-6632
DR. JOHN V WOELLNER MD
Family Medicine
4131 N 24TH ST, B-102
PHOENIX, AZ 85016
Maricopa County (602) 955-6632
DR. PEDRO RAMON CHOCA PH.D.
Psychologist
4131 N 24TH ST, STE. B102
PHOENIX, AZ 85016
Maricopa County (602) 955-6632
SHEETAL DESAI GOSALIA D.O.
Family Medicine
4131 N 24TH ST, ST. B102
PHOENIX, AZ 85016
Maricopa County (602) 955-6632
DR. GAUTAM AGGARWAL MD
Family Medicine
4131 N 24TH ST, STE. B-102
PHOENIX, AZ 85016
Maricopa County (602) 955-6632
CLAIRE N. BOWEY MD
Family Medicine
4131 N 24TH ST, SUITE B-102
PHOENIX, AZ 85016
Maricopa County (602) 955-6632
DR. KRISTIN J. SHEALEY M.D.
Family Medicine
4131 N 24TH ST, B-102
PHOENIX, AZ 85016
Maricopa County (602) 955-6632
DR. HEATHER KAY O'TOOLE M.D.
Family Medicine
4131 N 24TH ST, #B102
PHOENIX, AZ 85016
Maricopa County (602) 955-6632

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 Jacqueline Doris's NPI number?

The NPI number for Jacqueline Doris is 1922090992. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Jacqueline Doris located?

Jacqueline Doris practices at 4131 N 24th St B-102, Phoenix, AZ 85016. The listed phone number is (602) 955-6632.

What is Jacqueline Doris's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacqueline Doris enrolled in Medicare?

Yes. Jacqueline Doris is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacqueline Doris's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacqueline Doris reassigns Medicare benefits to 2 organizations: Honorhealth Medical Group, LLC (Phoenix, AZ) and Honorhealth Ambulatory (Phoenix, AZ). 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 Jacqueline Doris'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 Jacqueline Doris was last updated on September 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.