DR. DONNA SUE DOLLE M.D.
NPI 1962499244
Internal Medicine in Houston, TX

Active since October 03, 2005Opted out of Medicare · through Jan 8, 2027
2020 NASA PKWY, SUITE 290, HOUSTON, TX 77058(281) 335-7588(281) 335-7598 Get Directions Write a Review

NPPES record last updated: September 8, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Donna Sue Dolle M.d. NPPES

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

DR. DONNA SUE DOLLE M.D. (NPI 1962499244) is an individual internal medicine provider in Houston, Texas, licensed in Texas (J6407) and active in the NPI registry since October 2005. She has opted out of Medicare through January 8, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1962499244
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DONNA SUE DOLLECredential: M.D.
Location Address2020 NASA PKWY, SUITE 290Houston, TX 77058-3683
Mailing Address2020 Nasa Pkwy, Suite 290Houston, TX 77058-3683 · (281) 335-7588 · Fax (281) 335-7598
Fax(281) 335-7598
Sole ProprietorYes
Enumeration DateOctober 3, 2005
Last NPPES UpdateSeptember 8, 2011
NPI 1962499244 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in TX · J6407
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

2020 NASA PKWY, Houston, TX 77058

Other Identifiers 1

Medicare UPING33206TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Donna Sue Dolle M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from January 8, 2013 through January 8, 2027.

Opt-Out Effective DateJanuary 8, 2013
Opt-Out In Effect ThroughJanuary 8, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 45D1001323

Donna Sue Dolle, MD, PA · Houston, TX
Expired · Jul 8, 2026
CLIA Number45D1001323
Laboratory TypePhysician Office
Certificate Effective DateJuly 9, 2024
Certificate Expiration DateJuly 8, 2026
Laboratory DirectorDonna S. Dolle
Laboratory Phone(281) 335-7588
Laboratory LocationDonna Sue Dolle, MD, PA2020 Nasa Parkway, Suite 290, Houston, TX 77058
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77058 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers18 claims19 services$12.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers27 claims28 services$59.79 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 12

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

2020 NASA PKWY, SUITE 200
HOUSTON, TX 77058
Clinic/Center (Medical Specialty)
2020 NASA PKWY, SUITE 200
HOUSTON, TX 77058
Orthopaedic Surgery
2020 NASA PKWY, SUITE 200
HOUSTON, TX 77058
Psychologist (Clinical)
2020 NASA PKWY, SUITE 180
NASSAU BAY, TX 77058
2020 NASA PKWY, SUITE 200
HOUSTON, TX 77058
Surgery (Plastic and Reconstructive Surgery)
2020 NASA PKWY, #260
NASSAU BAY, TX 77058
Plastic Surgery
2020 NASA PKWY, SUITE 260
HOUSTON, TX 77058
Specialist/Technologist, Other
2020 NASA PKWY, SUITE 180
HOUSTON, TX 77058

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962499244, enumerated as an "individual" on October 03, 2005.

The provider is located at 2020 NASA PKWY SUITE 290 HOUSTON, TX 77058 and the phone number is (281) 335-7588.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.