Individual provider Active NPI

Luis Augusto Dominguez Vallejos, MD

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1194041582
Registry record updated Jan 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P5269 Issued in TX
Practice address
1700 S Tamiami TRL
Sarasota, FL 34239-3509
Phone
(941) 917-4896
Fax
(941) 917-6884
NPI assigned
Apr 11, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X ME114375 FL
Internal Medicine Physician 207R00000X P5269 TX Primary
Internal Medicine Physician 207R00000X ME114375 FL
Hospitalist Physician 208M00000X P5269 TX

Addresses

Primary practice location

1700 S Tamiami TRL
Sarasota, FL 34239-3509

Mailing address

PO Box 863407
Orlando, FL 32886-3407
Phone (941) 917-2600

Other practice location 1

1324 Lakeland Hills Blvd
Lakeland, FL 33805-4543
Phone (863) 687-1321

Other practice location 2

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-7264

Other identifiers 1

IdentifierTypeStateIssuer
014791600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, SC3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20131204001733 TX Practitioner - Emergency MedicinePractitioner - Internal MedicinePractitioner - Hospitalist 2961694732 Reassigns benefits to 5 organizations
I20150723007903 FL Practitioner - Internal Medicine 2961694732 Reassigns benefits to 10 organizations
I20260131000096 SC Practitioner - Hospitalist 2961694732 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
24 On Physicians of SC LLCGroup PAC ID 5890127344, 136 clinicians
Lee Health System IncGroup PAC ID 9335672146, 1,381 clinicians

Practice addresses (Care Compare)

316 Calhoun St
Charleston, SC 29401-1113
Phone (843) 724-2901

9981 S Healthpark Dr
Fort Myers, FL 33908-3618
Phone (239) 343-2606

Hospital & facility affiliations

  • Roper St Francis Hospital-Berkeley Inc Hospital, Summerville, SC, CCN 420110
  • Roper Hospital Hospital, Charleston, SC, CCN 420087
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lee Health System Inc Internal Medicine CurrentSince Jan 4, 2025 Accepting new patients
Florida Hospital Medicine Services, LLC. Hospitalist CurrentSince Mar 1, 2025 Accepting new patients
H Lee Moffitt Cancer Ctr & Res Inst Life Time Cancer SCRN Ctr Inc Current Accepting new patients
SMH Physician Services Inc Internal Medicine CurrentSince Sep 6, 2021 Accepting new patients
Hospital Physician Services of Florida PA Internal Medicine CurrentSince Feb 1, 2026 Accepting new patients
Eastside Hospitalists Inc Hospitalist CurrentSince Apr 1, 2022 Accepting new patients
Lee Memorial Health System CurrentSince Jul 1, 2024 Accepting new patients
Texas Physician Resources, LLP Emergency Medicine CurrentSince Feb 1, 2026 Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Feb 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Jan 28, 2017 Accepting new patients
Lee Health System Inc CurrentSince Jan 4, 2025 Accepting new patients
Lee Memorial Health System Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Cogent Healthcare of Texas, PA Internal Medicine CurrentSince Oct 1, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Jul 2, 2023 Accepting new patients
Cogent Healthcare of Jacksonville, LLC Internal Medicine CurrentSince Jan 28, 2017 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Jul 2, 2023 Accepting new patients
Lonestar Hospital Medicine Associates, PA Emergency Medicine CurrentSince Nov 1, 2025 Accepting new patients
Florida Hospital Medical Group Inc Internal Medicine CurrentSince Apr 3, 2023 Accepting new patients
Apogee Medical Group, Florida Inc Hospitalist CurrentSince Dec 1, 2025 Accepting new patients
24 On Physicians of SC, LLC Hospitalist CurrentSince Dec 7, 2025 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Apr 3, 2023 Accepting new patients
Wellmed Medical Group, PA Internal Medicine Past Accepting new patients
Montgomery General Hospital, Inc Past Accepting new patients
Montgomery Gen Cahgrp Past Accepting new patients
Montgomery General Hospital, Inc Past Accepting new patients
Montgomery General Hospital, Inc Past Accepting new patients
Montgomery General Hospital, Inc Past Accepting new patients
Montgomery Gen Cahgrp Past Accepting new patients
Montgomery General Hospital, Inc. Past Accepting new patients

Locations (25 of 38)

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

1138 Country Club Blvd
Cape Coral, FL 33990
Phone (239) 424-1900

13681 Doctors Way
Fort Myers, FL 33912
Phone (239) 343-1000

9981 S Healthpark Dr
Fort Myers, FL 33908
Phone (239) 332-5344

8931 Colonial Center Dr
Ste 401
Fort Myers, FL 33905
Phone (239) 424-2030

1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000

3600 Washington St
Hollywood, FL 33021
Phone (954) 265-4461

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

3501 Johnson St
Pembroke Park, FL 33021
Phone (954) 265-2000

8383 N Davis Hwy
Pensacola, FL 32514
Phone (850) 494-3212

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1921 Waldemere St
Ste 307
Sarasota, FL 34239
Phone (941) 917-8565

951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

100 Callen Blvd
Summerville, SC 29486
Phone (845) 529-3165

1501 S Coulter St
Amarillo, TX 79106
Phone (800) 354-1150

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

1201 W 38th St
Austin, TX 78705
Phone (512) 324-1058

11113 Research Blvd
Austin, TX 78759
Phone (512) 324-1125

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: luis.dominguezvallejos@direct.moffitt.org

Organizations & group practices 30

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.

View all 30

Hospital & facility affiliations 3

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": "1270944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767657600000",
    "number": "1194041582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 863407",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328863407",
            "telephone_number": "941-917-2600",
            "fax_number": "941-917-7884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 S TAMIAMI TRL",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342393509",
            "telephone_number": "941-917-4896",
            "fax_number": "941-917-6884"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1324 Lakeland Hills Blvd",
            "address_purpose": "LOCATION",
            "city": "Lakeland",
            "state": "FL",
            "postal_code": "338054543",
            "country_code": "US",
            "telephone_number": "863-687-1321",
            "fax_number": "863-603-6534",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ VALLEJOS",
        "first_name": "LUIS",
        "middle_name": "AUGUSTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-11",
        "last_updated": "2026-01-06",
        "certification_date": "2026-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME114375",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P5269",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME114375",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P5269",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014791600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.