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

Soongjin Ahn, DO

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1134861370

Soongjin Ahn, DO is an Internal Medicine in Dallas, Texas. Qualified in 2022, 4 years ago. Practices with Healthtexas Provider Network, a 2,539-clinician group and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
4
Licensed in
TX
In the registry since
2022
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3600 Gaston Ave Ste 651
Dallas, TX 75246-1906
Phone: (214) 820-3275
Fax: (214) 820-2530
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence V9263 (TX)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1134861370
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedApril 8, 2022
Last updated in NPPESJuly 23, 2025
Certification dateJuly 23, 2025
Mailing address3600 Gaston Ave Ste 651, Dallas, TX 75246-1906

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Healthtexas Provider Network — 2539 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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