JIMMY MINH HOANG – Internal Medicine Physician, NPI 1457829970
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for JIMMY MINH HOANG
12822 SE 157TH AVE UNIT 405
HAPPY VALLEY, OR 970864333
Phone: (503) 453-2499
Type: Mailing
218 PALOS VERDES DR
SANTA ANA, CA 927042477
Phone: (503) 453-2499
Type: Mailing
520 E FOOTHILL BLVD STE C
POMONA, CA 917671200
Phone: (909) 398-4895
Type: Location
Columbia Medical Clinic, 8122, Southeast Tibbetts Street, South Tabor, Portland, Metro, Multnomah County, Oregon, 97206, United States
PORTLAND, OR 972061768
Phone: (503) 980-4824
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $250.
Total Amount is formed as General ($250) + Research ($0) + Ownership ($0) = $250.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Koya Medical, Inc. ($169).
Total Amount
$250
General + Research + Ownership
Payments
5
Total payment records
General Amount
$250
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2020-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20200305002145 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 16 | 16 | $0 |
| 93970 | Ultrasound study of arm or leg veins with compression and maneuvers | 13 | 13 | $0 |
Insurance plans in this area (ZIP 97086)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| D E R M A T O L O G Y | CA | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | CA | |
| - | CA | |
| Cardiac Surgery, Thoracic Surgery | CA | |
| Internal Medicine, Endocrinology | CA | |
| Sleep Medicine, Internal Medicine, Pulmonary Disease, Critical Care (Intensivists) | CA | |
| Pulmonary Disease, Internal Medicine | NJ | |
| Critical Care (Intensivists), Internal Medicine, Sleep Medicine, Pulmonary Disease | CA | |
| Physician Assistant | CA |
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