Individual provider Active NPI

Dominique D Cleveland, MD

  • Obstetrics & Gynecology Physician
  • Katy, TX
National Provider Identifier
1104237643
Registry record updated Feb 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
R6309 Issued in TX
Practice address
23920 Katy Fwy Ste 440
Katy, TX 77494
Phone
(281) 392-2266
NPI assigned
May 19, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X BP10050319 TX
Obstetrics & Gynecology Physician 207V00000X R6309 TX Primary

Addresses

Primary practice location

23920 Katy Fwy Ste 440
Katy, TX 77494

Mailing address

23920 Katy Fwy Ste 440
Katy, TX 77494-0881
Phone (281) 392-2266

Other names 1

  • Dominique D Washington Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dominique.cleveland@katywomens.directbygreenway.com

Medicare participation

Medicare enrollment files
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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181101002714 TX Practitioner - Obstetrics/Gynecology 0446503759 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Texas Medical Branch at Galveston, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Katy Womens Care PAGroup PAC ID 8224090345, 4 clinicians

Practice addresses (Care Compare)

23920 Katy Fwy
Suite 330
Katy, TX 77494-0899
Phone (281) 392-2266

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
BP10050319TXMDObstetrics & Gynecology Physician
R6309TXMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Katy Womens Care, P a Obstetrics & Gynecology CurrentSince Aug 1, 2018 Accepting new patients

Locations

23920 Katy Fwy
Ste 440
Katy, TX 77494
Phone (281) 392-2266

23920 Katy Fwy
Ste 330
Katy, TX 77494
Phone (281) 392-2266

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1400457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644883200000",
    "number": "1104237643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 440",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774940881",
            "telephone_number": "281-392-2266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23920 KATY FWY STE 440",
            "city": "KATY",
            "state": "TX",
            "postal_code": "77494",
            "telephone_number": "281-392-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLEVELAND",
        "first_name": "DOMINIQUE",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-19",
        "last_updated": "2022-02-15",
        "certification_date": "2022-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "BP10050319",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R6309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dominique.cleveland@katywomens.directbygreenway.com",
            "affiliation": "N",
            "address_1": "23920 Katy Fwy Ste 440",
            "city": "Katy",
            "state": "TX",
            "country_code": "US",
            "postal_code": "77494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DOMINIQUE",
            "last_name": "WASHINGTON",
            "middle_name": "D",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.