Juan C Dominguez, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

118268 Issued in MO

Practice address

5210 North Belt Hwy
Saint Joseph, MO 64506-1211

Phone

(816) 271-4995

Fax

(816) 271-4915

NPI assigned

Jul 17, 2006

Last updated

Nov 20, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in MO

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

University of Kansas School of Med (KC/Wich/Sal), 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mosaic Life Care Home Health Home health agency, Saint Joseph, MO, CCN 267064
• Freudenthal Home Health Home health agency, Saint Joseph, MO, CCN 267644
• Mosaic Life Care Hospice Hospice, Saint Joseph, MO, CCN 261507
• Freudenthal Hospice Hospice, Saint Joseph, MO, CCN 261676
• Mosaic Life Care at St Joseph Hospital, Saint Joseph, MO, CCN 260006
• Mosaic Medical Center - Maryville Hospital, Maryville, MO, CCN 261340

Merit-based Incentive Payment System (MIPS)

Final score

84.76 of 100Reported as group

Quality

74.35

Promoting interoperability

100

Improvement activities

40

Cost

74.85

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
• IA HMO C-SNP
• IA HMO

Interoperability endpoints

• Direct secure messaging: juan.dominguez@direct.mymlc.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Heartland Regional Medical Center

  dba Mosaic Life Care

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1477575405

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Northwest Medical Center Association Inc

  dba Mosaic Medical Center Albany

  • Medicare Defined Swing Bed Hospital Unit
  • Albany, MO
  • NPI 1124164322
  Medicare reassignment NPD
• Heartland Regional Medical Center

  dba Mosaic Life Care

  • General Practice Physician
  • Saint Joseph, MO
  • NPI 1538200357
  NPD
• Heartland Regional Medical Center

  dba Mosaic Life Care at St. Joseph Acute Rehab

  • Rehabilitation Hospital Unit
  • Saint Joseph, MO
  • NPI 1841385093
  NPD
• Northwest Medical Center Association, Inc

  dba Mosaic Family Care Grant City

  • Rural Health Clinic/Center
  • Grant City, MO
  • NPI 1053452623
  NPD
• Heartland Regional Medical Center

  dba Mosaic Life Care at St Joseph Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  NPD (past)
• Midwestern Health Management, Inc.

  • Family Medicine Physician
  • Saint Joseph, MO
  • NPI 1104962901
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Freudenthal Home Health, LLC

  dba Freudenthal Hospice

  • Community Based Hospice Care Agency
  • Saint Joseph, MO
  • NPI 1346750874
  Care Compare affiliation
• Freudenthal Home Health, LLC

  dba Freudenthal Home Health

  • Home Health Agency
  • Saint Joseph, MO
  • NPI 1619222395
  Care Compare affiliation
• Heartland Regional Medical Center

  dba Mosaic Life Care Home Health

  • Home Health Agency
  • Saint Joseph, MO
  • NPI 1003916198
  Care Compare affiliation
• Heartland Regional Medical Center

  dba Mosaic Life Care at St Joseph Medical Center

  • General Acute Care Hospital
  • Saint Joseph, MO
  • NPI 1437259694
  Care Compare affiliation
• Heartland Regional Medical Center

  dba Mosaic Life Care

  • Community Based Hospice Care Agency
  • Saint Joseph, MO
  • NPI 1912007006
  Care Compare affiliation
• Mosaic Medical Center - Maryville

  • Critical Access Hospital
  • Maryville, MO
  • NPI 1265906663
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511136000000",
    "number": "1023036001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5210 NORTH BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061211",
            "telephone_number": "816-271-4995",
            "fax_number": "816-271-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 NORTH BELT HWY",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645061211",
            "telephone_number": "816-271-4995",
            "fax_number": "816-271-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "JUAN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2017-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "118268",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD KS",
            "identifier": "403973",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2180287",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD KC",
            "identifier": "25683028",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "26D0896653",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "246807846",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY HEALTH PLAN",
            "identifier": "10001381300",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100381150A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Caleb Paul Dodd
• Edward A. Dodge, P.A.
• William A. Dodson, M.D.
• Debra Dolman
• Camila Dominguez, STUDENT
• Andrew Donaldson, MD
• Amanda Jo Donovan, RN
• Tara Denise Dorman, PLPC
• Paige Dosch, DO
• Lisa A Dove, RN, CS, PNP

• Family Medicine Physician in Saint Joseph, MO
• Providers in Saint Joseph, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2017; 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.

Verify at the official NPI Registry.