Raymond Padolina Domingo, M.D.

Key facts

NPI

1386965010

Entity type

Individual (NPI type 1)

Primary specialty

Psychiatry Physician 2084P0800X

License

P8888 (TX)

Practice address

3737 Dacoma St
Houston, TX 77092

Phone

(713) 970-8400

NPI assigned

Jun 16, 2010

Sex

Male

Sole proprietor

Yes

Organizations & group practices 1

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.

• The Harris Center for Mental Health and Idd Community/Behavioral Health Agency · Houston, TX · NPI 1346293156
  Medicare reassignment Care Compare group NPD TX

Medicare Care Compare profile

Specialty

Psychiatry

Education

University of Texas Medical School at Houston, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

The Harris Center for Mental Health and Idd (122 clinicians)

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.49 of 100 (group)

Quality

78.41

Improvement activities

40

Cost

77.88

Medicare participation

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 6, 2018.

{
    "created_epoch": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1386965010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3737 DACOMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770928905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3737 DACOMA ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77092",
            "telephone_number": "713-970-8400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "RAYMOND",
        "middle_name": "PADOLINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-16",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "P8888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Arianna Dominguez Torres
• Alejandra Lizette Dominguez, PMHNP
• Ana Dominguez

All providers in Houston, TX · Psychiatry Physician in Texas