Active NPI
Patrick W Domkowski, MD
- Surgery Physician
- Melbourne, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME89469
- Practice address
- 2222 S Harbor City Blvd Ste 430
Melbourne, FL 32901-5591 - Phone
- (321) 344-8746
- Fax
- (321) 339-1932
- NPI assigned
- Nov 9, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME89469 | FL | Primary |
Addresses
Primary practice location
2222 S Harbor City Blvd Ste 430
Melbourne, FL 32901-5591
Mailing address
3300 S Fiske Blvd
Rockledge, FL 32955-4306
Phone (321) 344-8746
Other practice location 1
1810 Eldron Blvd SE
Palm Bay, FL 32909-6831
Phone (321) 344-8746
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 122937200 | Medicaid | FL | |
| 3456730 | Other | FL | AETNA |
| 37840 | Other | FL | BLUE CROSS BLUE SHIELD |
| P00217825 | Other | FL | RAILROAD MEDICARE |
| 239538 | Other | FL | WELLCARE |
| 6039513001 | Other | FL | CIGNA |
| 7801535 | Other | FL | AETNA |
| XG958 | Other | FL | HFMG |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040624001122 | FL | Practitioner - General Surgery | 9436135118 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles (7 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Steward Medical Group, Inc. | Surgery | Current | Accepting new patients |
| Steward Medical Group, Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Sebastian Hma Physician Management LLC | Past | Accepting new patients | |
| Omni Healthcare, Inc. | Past | Accepting new patients | |
| Stewart and Stewart a Medical Corporation | Past | Accepting new patients |
Locations
2222 S Harbor City Blvd
Ste 430
Melbourne, FL 32901
Phone (321) 541-1777
2290 W Eau Gallie Blvd
Melbourne, FL 32935
Phone (321) 254-4776
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
14430 US Highway 1
Ste 101
Sebastian, FL 32958
Phone (772) 581-0478
13840 US Highway 1
Sebastian, FL 32958
Phone (772) 581-0334
8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- patrick.domkowski.1@15594.direct.athenahealth.com
Organizations & group practices 11
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.
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Practice Physician
- Rockledge, FL
- NPI 1073268934
-
- Orthopaedic Surgery Physician
- Melbourne, FL
- NPI 1831738392
-
- Orthopaedic Surgery Physician
- Melbourne, FL
- NPI 1932748423
-
- Specialist
- Melbourne, FL
- NPI 1134191323
-
- Family Medicine Physician
- Sebastian, FL
- NPI 1972883635
-
- Family Medicine Physician
- Alhambra, CA
- NPI 1306058565
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Vero Beach, FL
- NPI 1649548777
-
- Home Health Agency
- Stuart, FL
- NPI 1770559718
-
- Home Health Agency
- Vero Beach, FL
- NPI 1689855496
-
- Home Health Agency
- Port St Lucie, FL
- NPI 1285191825
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orlando Health Medical Group IncHealth First Medical Group, LLC
Practice addresses (Care Compare)
14430 US Hwy 1
Suite 101
Sebastian, FL 32958-3289
Phone (772) 581-8003
699 W Cocoa Beach Cswy
Cocoa Beach, FL 32931-3562
8745 N Wickham Rd
Melbourne, FL 32940-5997
Phone (321) 434-5162
Hospital & facility affiliations
- Pinnacle Home Care
- Mederi Caretenders
- Activa Home Health
- Orlando Health Sebastian River Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 29 |
| Removal of tissue | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1366423022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3300 S FISKE BLVD",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329554306",
"telephone_number": "321-344-8746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 S HARBOR CITY BLVD STE 430",
"city": "MELBOURNE",
"state": "FL",
"postal_code": "329015591",
"telephone_number": "321-344-8746",
"fax_number": "321-339-1932"
}
],
"practiceLocations": [
{
"address_1": "1810 Eldron Blvd SE",
"address_purpose": "LOCATION",
"city": "Palm Bay",
"state": "FL",
"postal_code": "329096831",
"country_code": "US",
"telephone_number": "321-344-8746",
"fax_number": "321-339-1932",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMKOWSKI",
"first_name": "PATRICK",
"middle_name": "W",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-09",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME89469",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "122937200",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "3456730",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "37840",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00217825",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "239538",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6039513001",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7801535",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HFMG",
"identifier": "XG958",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Melbourne, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 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.