Michael Eugene Domis, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

PO2713 Issued in FL

Practice address

18203 Sandy Pointe Dr
Tampa, FL 33647

Phone

(727) 804-3668

NPI assigned

May 6, 2006

Sex

Male

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Barry University School of Podiatric Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/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.

• Coast to Coast Podiatry Inc

  • Podiatrist
  • Tarpon Springs, FL
  • NPI 1790896264

  FL, Podiatrist

  Medicare reassignment NPD Authorized official
• Ambulatory Ankle and Foot Care Center PA

  • Foot & Ankle Surgery Podiatrist
  • Tallahassee, FL
  • NPI 1306004130

  Podiatrist

  NPD (past)
• Dr. David C. Martin, DPM,PL

  • Podiatrist
  • Tarpon Springs, FL
  • NPI 1407925381
  NPD (past)
• KG Health Partners, Inc

  • Podiatrist
  • Clearwater, FL
  • NPI 1487654042
  NPD (past)

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

{
    "created_epoch": "1146873600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573084800000",
    "number": "1124077474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5509 GRAND BLVD STE 203",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346523836",
            "telephone_number": "727-572-5449",
            "fax_number": "727-844-5425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18203 SANDY POINTE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33647",
            "telephone_number": "727-804-3668"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18203 Sandy Pointe Dr",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "33647",
            "country_code": "US",
            "telephone_number": "727-804-3668",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMIS",
        "first_name": "MICHAEL",
        "middle_name": "EUGENE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-06",
        "last_updated": "2019-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO2713",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390456300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Peter Brandon Dominguez, MD
• Roberto V Dominguez, M.D.
• Sabrina Dominguez
• Maria Dominick, RPH
• Cleone Dominique
• Deanna Domnisch
• Donna Malin Donaghy, BA
• Amy Katherine Donahey, APRN
• Donald F Temple MD PA
• Susan Lea Donald, NS CCC SLP

• Podiatrist in Tampa, FL
• Providers in Tampa, FL by specialty
• Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.