Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack Doenges, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1790305605

Jack Doenges, MD is a Vascular Surgery in Minneapolis, Minnesota. Graduated from University of Minnesota Medical School in 2020, 6 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group and accepts Medicare assignment.

Years since qualifying
6
Trained at
University of Minnesota Medical School
In the registry since
2020
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

420 Delaware Street SE Mmc 195
Minneapolis, MN 55455-0341
Phone: (612) 301-9433
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1790305605
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 21, 2020
Last updated in NPPESApril 21, 2020
Certification dateApril 21, 2020
Mailing address420 Delaware Street Se, Mmc 195, Minneapolis, MN 55455-0341

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2020 (6 years in practice)
Group practice Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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