Michelle M Dompenciel, M.D.

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

ME103296 Issued in FL

Practice address

12250 Tamiami TRL E
Suite 104
Naples, FL 34113-7927

Phone

(239) 687-5700

NPI assigned

Dec 15, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in FL

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

Neurology

Education

University Central del Caribe Escuela de Medicina, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Cleveland Clinic FloridaGroup PAC ID 7911807128, 717 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cleveland Clinic Martin North Hospital Hospital, Stuart, FL, CCN 100044
• Cleveland Clinic Hospital Hospital, Weston, FL, CCN 100289
• Cleveland Clinic Indian River Hospital Hospital, Vero Beach, FL, CCN 100105
• Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

Merit-based Incentive Payment System (MIPS)

Final score

92.26 of 100Reported as apm

Quality

80.2

Promoting interoperability

99.24

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• Direct secure messaging: mdompenciel36749@direct.ccf.org
• FHIR API: https://fhir4.healow.com/fhir/r4/DEGGCD

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.

• Cleveland Clinic Florida a Nonprofit Corporation

  • Clinic/Center
  • Weston, FL
  • NPI 1215989298
  Medicare reassignment Care Compare group NPD
• Indian River Health Services Inc

  • Multi-Specialty Clinic/Center
  • Vero Beach, FL
  • NPI 1588298285
  NPD
• Indian River Health Services Inc

  dba Behavioral Health Center

  • Psychiatry Physician
  • Vero Beach, FL
  • NPI 1710933031
  NPD
• Euclid Hospital Cleveland Clinic Health System

  dba cleveland clinic foundation

  • General Acute Care Hospital
  • Euclid, OH
  • NPI 1457403016
  NPD
• Collier Neurologic Specialists LLC

  • Neurology Physician
  • Naples, FL
  • NPI 1871543512
  NPD (past)

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

• Cleveland Clinic Weston Hospital Nonprofit Corporation

  dba Cleveland Clinic Hospital

  • General Acute Care Hospital
  • Weston, FL
  • NPI 1083644033
  Care Compare affiliation
• Indian River Memorial Hospital Inc

  dba Cleveland Clinic Indian River Hospital

  • General Acute Care Hospital
  • Vero Beach, FL
  • NPI 1376512988
  Care Compare affiliation
• Jupiter Medical Center, Inc.

  • General Acute Care Hospital
  • Jupiter, FL
  • NPI 1295721090
  Care Compare affiliation
• Martin Memorial Medical Center Inc

  dba Cleveland Clinic Martin North, South, Tradition Hospitals

  • General Acute Care Hospital
  • Stuart, FL
  • NPI 1194790055
  Care Compare affiliation

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

{
    "created_epoch": "1229299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251763200000",
    "number": "1093950370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 GOODLETTE RD N",
            "address_2": "SUITE 100",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025616",
            "telephone_number": "239-687-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12250 TAMIAMI TRL E",
            "address_2": "SUITE 104",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341137927",
            "telephone_number": "239-687-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMPENCIEL",
        "first_name": "MICHELLE",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-15",
        "last_updated": "2009-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME103296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000679100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephany De Jesus Dominguez Canosa
• Maite Dominguez Perez
• Talia Dominguez Valledor
• Grissel Ingrid Dominguez, RBT-24-335203
• Niuvis Dominguez
• Kourtney Donagan, DPT
• Eric J Donaghy, O.D.
• Florine J Donahoe, MA LCPC
• Michelle Dondero
• Martha Doniaz, LMT

• Neurology Physician in Naples, FL
• Providers in Naples, FL by specialty
• Neurology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2009; 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.