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

Q: 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.

Q: What is Jacqueline Doris's specialty?

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

Q: 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 12 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 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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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.

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 12 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.