Kayla Dominguez, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA18313 Issued in TX

Practice address

2693 North St
Beaumont, TX 77702-1624

Phone

(409) 832-8862

Fax

(409) 832-1664

NPI assigned

Sep 25, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

University of Texas Medical Branch at Galveston, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeast Texas Cardiology Associates II LLPGroup PAC ID 8426152372, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Beaumont Hospital Hospital, Beaumont, TX, CCN 450346
• Christus Southeast Texas- St Elizabeth Hospital, Beaumont, TX, CCN 450034

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: kayla.dominguez.1@5553.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/5553/brand/1/csg/1/fhir/r4

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.

• Southeast Texas Cardiology Associates II LLP

  • Cardiovascular Disease Physician
  • Beaumont, TX
  • NPI 1164455671
  Medicare reassignment Care Compare group
• Cardiac Imaging Inc

  • Mobile Radiology Clinic/Center
  • Oak Brook Terrace, IL
  • NPI 1770830606
  NPD (past)

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

• Baptist Hospitals of Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1093744187
  Care Compare affiliation
• Christus Health Southeast Texas

  • General Acute Care Hospital
  • Beaumont, TX
  • NPI 1679557888
  Care Compare affiliation

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

{
    "created_epoch": "1727222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1043037468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2693 NORTH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021624",
            "telephone_number": "409-832-8862",
            "fax_number": "409-832-1664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2693 NORTH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777021624",
            "telephone_number": "409-832-8862",
            "fax_number": "409-832-1664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "KAYLA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-25",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA18313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Dewayne Dodd Jr., FNP
• Lisa Michelle Doguet, MD
• Mariah Dolbow, COTA/L
• Jackson Dolce, OD
• Charles Chester Domingues, M.D.
• Dominique J Beaudry MD PA
• Stacy Dominy, APRN, FNP-C
• Denise Lynn Donahue, LPC-A
• Andrea R. Donart, LCSW
• Jennifer L Dorrell, M.S. LPC

• Medical Physician Assistant in Beaumont, TX
• Providers in Beaumont, TX by specialty
• Medical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2024; 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.