Robert M Domke, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

01055190A Issued in IN

Practice address

2598 W White River Blvd
Muncie, IN 47303-5251

Phone

(765) 747-3049

NPI assigned

Jun 2, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: rdomke@direct.iuhealth.org

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.

• East Central Radiology

  • Radiology Clinic/Center
  • Muncie, IN
  • NPI 1184663544
  NPD
• Indiana University Radiology Associates, Inc.

  • Diagnostic Radiology Physician
  • Indianapolis, IN
  • NPI 1336192665
  NPD
• Borg & Ide Imaging, PC

  • Diagnostic Radiology Physician
  • Rochester, NY
  • NPI 1194714402
  NPD (past)
• Borg Imaging Group LLP

  • Specialist
  • Rochester, NY
  • NPI 1528001385
  NPD (past)

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1386681773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "714 N SENATE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462023763",
            "telephone_number": "317-909-3086",
            "fax_number": "317-963-2711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2598 W WHITE RIVER BLVD",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473035251",
            "telephone_number": "765-747-3049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMKE",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-02",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "190452",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01055190A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01870382",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdomke@direct.iuhealth.org",
            "affiliation": "N",
            "address_1": "2598 W White River Blvd",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473035251",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Amy J Dockrey, FNP-C
• Doctor Emmanuel Saintjean, LLC
• Hannah Doctor, PH.D., HSPP
• Alexandra Doerner
• Robert Doggette, M.D.
• Beau Ryan Donahue
• Ericah Dongu
• Jesse Dority, MD
• Deidre Rose Dorman, M.D.
• Lisa L. Dornick, ARNP

• Diagnostic Radiology Physician in Muncie, IN
• Providers in Muncie, IN by specialty
• Diagnostic Radiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.