Individual provider Active NPI

Dominador Villanueva Laynes III, M.D.

  • Internal Medicine Physician
  • Saginaw, MI
National Provider Identifier
1104915115
Registry record updated Mar 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
DL062088 Issued in MI
Practice address
3150 Hallmark CT
Ste 1
Saginaw, MI 48603-2173
Phone
(989) 497-0011
Fax
(989) 497-0444
NPI assigned
Oct 11, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DL062088 MI Primary

Addresses

Primary practice location

3150 Hallmark CT
Ste 1
Saginaw, MI 48603-2173

Mailing address

3150 Hallmark CT
Saginaw, MI 48603-2173
Phone (989) 497-0011

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20110222001169 MI Practitioner - Internal Medicine 7214118397 Practice locations: Saginaw, MI

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians

Practice addresses (Care Compare)

255 Mayer Rd
Frankenmuth, MI 48734-1358
Phone (989) 349-0016

3150 Hallmark CT
Suite 1
Saginaw, MI 48603-2173
Phone (989) 497-0011

Hospital & facility affiliations

  • Covenant at Home Home health agency, Saginaw, MI, CCN 237431
  • Covenant Medical Center Hospital, Saginaw, MI, CCN 230070
  • Mymichigan Medical Center Midland Hospital, Midland, MI, CCN 230222
  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions22
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DL062088MIMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: dlaynes1239@direct.covenanthealthcare.com

Hospital & facility affiliations 6

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616716800000",
    "number": "1104915115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3150 HALLMARK CT",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032173",
            "telephone_number": "989-497-0011",
            "fax_number": "989-497-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3150 HALLMARK CT",
            "address_2": "STE 1",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486032173",
            "telephone_number": "989-497-0011",
            "fax_number": "989-497-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYNES",
        "first_name": "DOMINADOR",
        "middle_name": "VILLANUEVA",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-11",
        "last_updated": "2021-03-26",
        "certification_date": "2021-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "DL062088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.