Individual provider Active NPI

Dayana Marlen Dominguez Batista, MD

  • Pediatric Sleep Medicine Physician
  • Mesa, AZ
National Provider Identifier
1245735026
Registry record updated Mar 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Sleep Medicine PhysicianTaxonomy code 2080S0012X
License
66177 Issued in AZ
Practice address
1432 S Dobson Rd Ste 509
Mesa, AZ 85202-4778
Phone
(480) 412-6430
NPI assigned
Mar 26, 2018
Last updated
Mar 9, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 66177 AZ
Sleep Medicine (Internal Medicine) Physician 207RS0012X 66177 AZ
Pediatric Sleep Medicine Physician 2080S0012X 66177 AZ Primary

Addresses

Primary practice location

1432 S Dobson Rd Ste 509
Mesa, AZ 85202-4778

Mailing address

7931 E San Miguel Ave Unit 2
Scottsdale, AZ 85250-6557
Phone (786) 495-3130

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20220708001106 AZ Practitioner - Sleep MedicinePractitioner - Pediatric Medicine 8628325644 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66177AZMDSleep Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jun 21, 2022 Accepting new patients
Banner Physician Super Specialists Arizona LLC CurrentSince Jun 21, 2022 Accepting new patients
Banner Physician Super Specialists Arizona LLC Current Accepting new patients

Locations

1400 S Dobson Rd
Mesa, AZ 85202
Phone (480) 412-3000

1432 S Dobson Rd
Ste 301
Mesa, AZ 85202
Phone (480) 412-7120

1432 S Dobson Rd
Ste 501
Mesa, AZ 85202
Phone (480) 412-7474

1432 S Dobson Rd
Ste 509
Mesa, AZ 85202
Phone (480) 412-6970

6644 E Baywood Ave
Ste 135
Mesa, AZ 85206
Phone (480) 321-4553

Interoperability endpoints

  • Direct secure messaging: ddominguezbatista17904@uihealth.direct-ci.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1522022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709942400000",
    "number": "1245735026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7931 E SAN MIGUEL AVE UNIT 2",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852506557",
            "telephone_number": "786-495-3130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1432 S DOBSON RD STE 509",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852024778",
            "telephone_number": "480-412-6430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ BATISTA",
        "first_name": "DAYANA",
        "middle_name": "MARLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-26",
        "last_updated": "2024-03-09",
        "certification_date": "2022-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "AZ",
            "license": "66177",
            "primary": false
        },
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "AZ",
            "license": "66177",
            "primary": false
        },
        {
            "code": "2080S0012X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sleep Medicine",
            "state": "AZ",
            "license": "66177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.