DR. JENNIFER LEE DONG M.D.
NPI 1972829653
Internal Medicine in Irvine, CA

Active since April 20, 2010Opted out of Medicare · through Sep 2, 2027
1190 ROOSEVELT, STE # 100, IRVINE, CA 92620(949) 346-4456(949) 346-4458 Get Directions Write a Review

NPPES record last updated: January 14, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 14, 2026, Nov 12, 2025, Mar 21, 2023 (3 updates tracked since 2023).

About Dr. Jennifer Lee Dong M.d. NPPES

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

DR. JENNIFER LEE DONG M.D. (NPI 1972829653) is an individual internal medicine provider in Irvine, California, licensed in California (C202813) and active in the NPI registry since April 2010. She has opted out of Medicare through September 2, 2027 and remains eligible to order and refer.

NPPES Registry Identity

NPI1972829653
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. JENNIFER LEE DONGCredential: M.D.
Location Address1190 ROOSEVELT, STE # 100Irvine, CA 92620
Mailing Address1190 Roosevelt Ste 100Irvine, CA 92620-4111 · (949) 346-4456 · Fax (949) 346-4458
Fax(949) 346-4458
Sole ProprietorNo
Enumeration DateApril 20, 2010
Last NPPES UpdateJanuary 14, 20263 updates tracked since enumeration
NPPES CertifiedJanuary 14, 2026
NPI 1972829653 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in CA · C202813 Licensed in NY · 263525
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.
1190 ROOSEVELT, Irvine, CA 92620

Other Names 1

Former Name (1)Jennifer Lee Dong M.d.

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. Jennifer Lee Dong 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 September 2, 2025 through September 2, 2027.

Opt-Out Effective DateSeptember 2, 2025
Opt-Out In Effect ThroughSeptember 2, 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92620 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Jennifer Dong's NPI number?

The NPI number for Jennifer Dong is 1972829653. It was assigned to this individual provider in the NPPES registry on April 20, 2010. The provider is also known as Jennifer Lee Dong M.D..

Where is Jennifer Dong located?

Jennifer Dong practices at 1190 Roosevelt Ste # 100, Irvine, CA 92620. The listed phone number is (949) 346-4456.

What is Jennifer Dong's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jennifer Dong enrolled in Medicare?

No. Jennifer Dong has opted out of Medicare through September 2, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Jennifer Dong was last updated on January 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.