Active NPI
Dominick Lago Jr., M.D.
- Anesthesiology Physician
- Southfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME157049
- Practice address
- 16001 W 9 Mile Rd
Southfield, MI 48075-4818 - Phone
- (248) 849-3000
- NPI assigned
- Jun 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 4301060139 | MI | |
| Anesthesiology Physician | 207L00000X | ME157049 | FL | Primary |
Addresses
Primary practice location
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Mailing address
255 W Michigan Ave
Jackson, MI 49201-2218
Phone (517) 787-6440
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040517001142 | MI | Practitioner - Anesthesiology | 0042108193 | Reassigns benefits to 5 organizations |
| I20230216002845 | FL | Practitioner - Anesthesiology | 0042108193 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone (586) 493-8000
206 2ND St E
Manatee Memorial Hospital
Bradenton, FL 34208-1042
Phone (941) 746-5111
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202-5174
Phone (941) 782-2100
Hospital & facility affiliations
- Lakewood Ranch Medical Center
- Manatee Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Gastrointestinal Health at Health Park LLC | Current | Accepting new patients | |
| Lakeside Anesthesia Associates, PLLC | Anesthesiology | Current | Accepting new patients |
| Michigan Pain Management Consultants-West, PC | Anesthesiology | Current | Accepting new patients |
| GLPS Staffing Solutions LLC | Current | Accepting new patients | |
| American Anesthesiology Services of Florida, Inc. | Anesthesiology | Current | Accepting new patients |
| Anesthesia Dynamics LLC | Anesthesiology | Current | Accepting new patients |
| Baycare Medical Group, Inc | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Fleming Island Anesthesia LLC | Anesthesiology | Current | Accepting new patients |
| Great Lakes Surgical Center Anesthesia, PLC | Anesthesiology | Past | Accepting new patients |
| PSJ Anesthesia PC | Past | Accepting new patients |
Locations
665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636
2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060
6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023
4571 Colonial Blvd
Ste 200
Fort Myers, FL 33966
Phone (239) 333-2050
8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757
110 N Lecanto Hwy
Lecanto, FL 34461
Phone (352) 527-1825
9035 Sunset Dr
Ste 200
Miami, FL 33173
Phone (786) 615-6210
130 Tamiami Trl N
Ste 210
Naples, FL 34102
Phone (239) 434-8707
6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300
4725 N Federal Hwy
Oakland Park, FL 33308
Phone (954) 493-5005
1670 Eagle Harbor Pkwy
Ste B
Orange Park, FL 32003
Phone (904) 541-3048
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
30400 Telegraph Rd
Ste 405
Bingham Farms, MI 48025
Phone (248) 483-8138
43475 Dalcoma Dr
Ste 100
Clinton Twp, MI 48038
Phone (586) 263-5043
600 Health Park Blvd
Ste E
Grand Blanc, MI 48439
Phone (810) 503-8210
255 W Michigan Ave
Jackson, MI 49201
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727
47601 Grand River Ave
Novi, MI 48374
Phone (248) 465-4100
26750 Providence Pkwy
Ste 120
Novi, MI 48374
Phone (248) 679-8000
26750 Providence Pkwy
Novi, MI 48374
Phone (248) 465-4782
26750 Providence Pkwy
Ste 100
Novi, MI 48374
Phone (248) 662-1500
29877 Telegraph Rd
Ste L-12
Southfield, MI 48034
Phone (248) 213-6222
1305 Walt Whitman Rd
Ste 300
Melville, NY 11747
Phone (516) 370-3796
Interoperability endpoints
- dominick.lagomd@direct.mybaycare.org
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Mount Clemens, MI
- NPI 1750797015
MI
-
- Anesthesiology Physician
- Mount Clemens, MI
- NPI 1073534947
Anesthesiology, MI
-
- Anesthesiology Physician
- Novi, MI
- NPI 1689862047
Anesthesiology, MI
-
- Ambulatory Surgical Clinic/Center
- Grand Blanc, MI
- NPI 1437107844
MI
-
- Anesthesiology Physician
- Melville, NY
- NPI 1508318387
Anesthesiology, FL
-
- Anesthesiology Physician
- Orange Park, FL
- NPI 1487945895
Anesthesiology, FL
-
- Certified Registered Nurse Anesthetist
- Southfield, MI
- NPI 1275905796
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1497117329
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675382400000",
"number": "1013950880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W MICHIGAN AVE",
"city": "JACKSON",
"state": "MI",
"postal_code": "492012218",
"telephone_number": "517-787-6440",
"fax_number": "517-787-4146"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16001 W 9 MILE RD",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480754818",
"telephone_number": "248-849-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGO",
"first_name": "DOMINICK",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-13",
"last_updated": "2023-02-03",
"certification_date": "2023-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MI",
"license": "4301060139",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME157049",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.