HAO DENG – Family Nurse Practitioner, NPI 1114807534

HAO DENG is a healthcare provider. based in Kilgore, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1210674 (TX). The NPI Number for HAO DENG is 1114807534

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
HAO DENG
NPI
1114807534
Phone
(903) 215-3149
Address
1600 S HENDERSON BLVD
Enumeration Date
5 September 2025
Last Update Date
16 September 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7692436141
Graduation Year
2025 (1 year ago)
PAC ID
5799274528
Group Practice PAC ID
5698038610
Professional Enrollment ID
I20251030003645
Address ID
TX756016546LO515XXSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

22,204 NURSE PRACTITIONER in TX

Provider Addresses for HAO DENG

  • 1600 S HENDERSON BLVD

    KILGORE, TX 756623518

    Phone: (903) 215-3149

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2025-10-30

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20251030003645INurse PractitionerTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 75662)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5698038610View full group profile
NameSpecialtyState
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerTN
Nurse PractitionerLA
Nurse PractitionerMS
Nurse PractitionerLA
Nurse PractitionerMS
Nurse PractitionerMS
Nurse PractitionerLA
Physician AssistantLA

Reviews

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Frequently asked questions

What number should I use to identify HAO DENG for billing?
Administrative and clinical systems typically use NPI 1114807534 for HAO DENG.
Is HAO DENG's NPI status active today?
Active status means HAO DENG's NPI record is not deactivated in the public file.
What does the directory say HAO DENG does?
Insurance directories may phrase it differently, but here HAO DENG maps to Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Is HAO DENG tied to Kilgore, Texas?
If you are local to Kilgore, Texas, HAO DENG may be relevant to your search.
Who maintains HAO DENG's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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