Individual provider Active NPI

Danielle M Dombrowski, M.D.

  • Vascular Surgery Physician
  • Nellis Afb, NV
National Provider Identifier
1285997338
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
4301111885 Issued in MI
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

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, ID, TX3 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
I20201209001893 MO Practitioner - General Surgery 8123450814 Reassigns benefits to 1 organization
I20250213000986 ID Practitioner - Vascular Surgery 8123450814 Reassigns benefits to 1 organization
I20250610003826 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 8123450814 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiology Clinic of San Antonio, PLLCGroup PAC ID 1153517420, 125 clinicians

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

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19421NVMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Clinic of San Antonio, PLLC CurrentSince Aug 1, 2025 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Mar 1, 2025 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 8, 2022 Accepting new patients
Mercy Clinic Springfield Communities CurrentSince Feb 8, 2022 Accepting new patients
Saint Alphonsus Regional Medical Center Inc CurrentSince Mar 1, 2025 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

  • Direct secure messaging: ddombrowski1227635@directc.mercy.net
  • Direct secure messaging: ddombrowski3916759@direct.trinity-health.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

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": "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

Verify at the official NPI Registry.