Active NPI
Danielle M Dombrowski, M.D.
- Vascular Surgery Physician
- Nellis Afb, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 4301111885
- Practice address
- 4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600 - Phone
- (702) 653-2273
- NPI assigned
- Jun 22, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | 4301111885 | MI | Primary |
| Vascular Surgery Physician | 2086S0129X | MC-2572 | ID |
Addresses
Primary practice location
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Mailing address
4700 Las Vegas Blvd N
Nellis Afb, NV 89191-6600
Phone (702) 653-2273
Other practice location 1
1075 N Curtis Rd Ste 101
Boise, ID 83706-1348
Phone (208) 302-2800
Other names 1
- Danielle M Herder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, ID, TX
- 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
- Vascular Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Brooklyn Ave
Suite 120
San Antonio, TX 78212-4816
Phone (210) 874-3596
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 12 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19421 | NV | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cardiology Clinic of San Antonio, PLLC | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Mercy Clinic Springfield Communities | Current | Accepting new patients | |
| Saint Alphonsus Regional Medical Center Inc | Current | Accepting new patients | |
| San Antonio Cardiology Clinic PA | Past | Accepting new patients |
Locations
1075 N Curtis Rd
Ste 101
Boise, ID 83706
Phone (208) 302-2800
1055 N Curtis Rd
Boise, ID 83706
Phone (208) 367-2152
3025 W Cherry Ln
Ste B
Meridian, ID 83642
Phone (208) 302-6400
2115 S Fremont Ave
Ste 3050
Springfield, MO 65804
Phone (417) 820-3905
2115 S Fremont Ave
Ste 5000
Springfield, MO 65804
Phone (417) 820-3912
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
4411 Medical Dr
Ste 300
San Antonio, TX 78229
Phone (210) 582-5145
1200 Brooklyn Ave
Ste 250
San Antonio, TX 78212
Phone (210) 226-5933
1200 Brooklyn Ave
Ste 120
San Antonio, TX 78212
Phone (210) 271-7266
6800 W Ih 10
Ste 101
San Antonio, TX 78201
Interoperability endpoints
- ddombrowski1227635@directc.mercy.net
- ddombrowski3916759@direct.trinity-health.org
- danielle.dombrowski@hca7.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1487965000
-
- Family Medicine Physician
- Springfield, MO
- NPI 1245277631
-
- Psychologist
- Boise, ID
- NPI 1649357716
-
- Rural Health Clinic/Center
- Willow Springs, MO
- NPI 1972771657
-
- Psychiatric Hospital Unit
- Boise, ID
- NPI 1770687857
-
- Cardiovascular Disease Physician
- San Antonio, TX
- NPI 1326073206
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1659525236
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1124074273
-
- General Acute Care Hospital
- Fredericksburg, TX
- NPI 1376256354
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1689627655
-
- General Acute Care Hospital
- San Antonio, TX
- NPI 1952348021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1738800000000",
"number": "1285997338",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4700 LAS VEGAS BLVD N",
"city": "NELLIS AFB",
"state": "NV",
"postal_code": "891916600",
"telephone_number": "702-653-2273"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4700 LAS VEGAS BLVD N",
"city": "NELLIS AFB",
"state": "NV",
"postal_code": "891916600",
"telephone_number": "702-653-2273"
}
],
"practiceLocations": [
{
"address_1": "1075 N Curtis Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Boise",
"state": "ID",
"postal_code": "837061348",
"country_code": "US",
"telephone_number": "208-302-2800",
"fax_number": "208-302-2825",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMBROWSKI",
"first_name": "DANIELLE",
"middle_name": "M",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-22",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "MI",
"license": "4301111885",
"primary": true
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "ID",
"license": "MC-2572",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DANIELLE",
"last_name": "HERDER",
"middle_name": "M",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Nellis Afb, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.