Carmelo Dominguez, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN222 Issued in FL

Practice address

2202 SE 17TH St
Ocala, FL 34471-2623

Phone

(352) 204-9866

Fax

(352) 204-9661

NPI assigned

Mar 18, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1142640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1366401499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712623",
            "telephone_number": "352-204-9866",
            "fax_number": "352-204-9661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 SE 17TH ST",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "344712623",
            "telephone_number": "352-204-9866",
            "fax_number": "352-204-9661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "CARMELO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-18",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN222",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Dodge
• Tobi Atrella Doerffel, MS, CCC-SLP
• Dolphin Emergency Physicians LLC
• Susan Marie Domfort, LMT,HMLDT,COTA
• Domingo Cerra MD PA
• Debora K Donahue, APRN
• Donald T. McIntosh, D.M.D., P.a.
• Javon Donald
• Sri Unnath Donepudi, PHARMD
• Kevin Mark Donnelly, P.T.

• General Practice Physician in Ocala, FL
• Providers in Ocala, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.