Active NPI
Luis Augusto Dominguez Vallejos, MD
- Internal Medicine Physician
- Sarasota, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- P5269
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 014791600 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL, SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
- Roper Hospital
- Gulf Coast Medical Center Lee Health
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lee Health System Inc | Internal Medicine | Current | Accepting new patients |
| Florida Hospital Medicine Services, LLC. | Hospitalist | Current | 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 | Current | Accepting new patients |
| Hospital Physician Services of Florida PA | Internal Medicine | Current | Accepting new patients |
| Eastside Hospitalists Inc | Hospitalist | Current | Accepting new patients |
| Lee Memorial Health System | Current | Accepting new patients | |
| Texas Physician Resources, LLP | Emergency Medicine | Current | Accepting new patients |
| Lakeland Regional Health Systems, Inc. | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Texas, PLLC | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Jacksonville, LLC | Internal Medicine | Current | Accepting new patients |
| Lee Health System Inc | Current | Accepting new patients | |
| Lee Memorial Health System | Internal Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Internal Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Current | Accepting new patients | |
| Cogent Healthcare of Jacksonville, LLC | Internal Medicine | Current | Accepting new patients |
| Christus Trinity Clinic Texas | Internal Medicine | Current | Accepting new patients |
| Lonestar Hospital Medicine Associates, PA | Emergency Medicine | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Apogee Medical Group, Florida Inc | Hospitalist | Current | Accepting new patients |
| 24 On Physicians of SC, LLC | Hospitalist | Current | Accepting new patients |
| Florida Hospital Medical Group Inc | Current | 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
- 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.
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1942058557
-
- Hospitalist Physician
- Charleston, SC
- NPI 1144877655
-
- Internal Medicine Physician
- Jacksonville, FL
- NPI 1124252333
-
- Hospitalist Physician
- Hollywood, FL
- NPI 1285676957
-
- Family Medicine Physician
- Orlando, FL
- NPI 1225034234
Internal Medicine
-
- Hospitalist Physician
- Boca Raton, FL
- NPI 1508873183
-
- Hospitalist Physician
- Pensacola, FL
- NPI 1558718635
Internal Medicine
-
- Multi-Specialty Clinic/Center
- Lakeland, FL
- NPI 1497748743
-
- Internal Medicine Physician
- Fort Myers, FL
- NPI 1992873319
-
- Internal Medicine Physician
- Sarasota, FL
- NPI 1346295292
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Myers, FL
- NPI 1366281750
-
- General Acute Care Hospital
- Charleston, SC
- NPI 1962472860
-
- General Acute Care Hospital
- Summerville, SC
- NPI 1336603646
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2026; 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.