Individual provider Active NPI

Dominika Maria Zoltowska, MD

  • Cardiovascular Disease Physician
  • Jacksonville, FL
National Provider Identifier
1407208622
Registry record updated Aug 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME176282 Issued in FL
Practice address
14534 Old Saint Augustine Rd Ste 3420
Jacksonville, FL 32258-2645
Phone
(904) 493-8001
Fax
(904) 376-3207
NPI assigned
Jul 12, 2016
Last updated
Aug 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME176282 FL Primary

Addresses

Primary practice location

14534 Old Saint Augustine Rd Ste 3420
Jacksonville, FL 32258-2645

Mailing address

PO Box 746652
Atlanta, GA 30374-6652
Phone (904) 202-2092

Other practice location 1

10601 San Jose Blvd Ste 1402
Jacksonville, FL 32257-8232
Phone (904) 425-4566

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20220913003919 AZ Practitioner - Cardiovascular Disease (Cardiology) 3870880107 Reassigns benefits to 2 organizations
I20251116000074 FL Practitioner - Cardiovascular Disease (Cardiology) 3870880107 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Cardiology, Inc.Group PAC ID 2466614581, 98 clinicians
Sunstate Cardiology PCGroup PAC ID 7719263789, 7 clinicians

Practice addresses (Care Compare)

14534 Old Saint Augustine Rd
Suite 3420
Jacksonville, FL 32258-2645
Phone (904) 493-8001

60 N McClintock Dr
Suite 3
Chandler, AZ 85226-3766
Phone (480) 821-3800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.3 of 100Reported as group
Quality
82.79
Promoting interoperability
99
Improvement activities
40
Cost
79.03

Merit-based Incentive Payment System (MIPS)

Final score
77.29 of 100Reported as group
Quality
67.68
Improvement activities
40
Cost
67.39

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME176282FLMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Swarup LLC CurrentSince Aug 1, 2022 Accepting new patients
Spine & Sports Rehabilitation Institute CurrentSince Sep 8, 2024 Accepting new patients
Sunstate Cardiology PC Cardiovascular Disease CurrentSince Sep 8, 2024 Accepting new patients
Baptist Cardiology, Inc. Cardiovascular Disease CurrentSince Dec 1, 2025 Accepting new patients
Swarup LLC Cardiovascular Disease CurrentSince Aug 1, 2022 Accepting new patients

Locations

60 N McClintock Dr
Ste 3
Chandler, AZ 85226
Phone (480) 821-3800

3645 S Rome St
Ste 201
Gilbert, AZ 85297
Phone (480) 748-9149

13760 N 93rd Ave
Ste 107
Peoria, AZ 85381
Phone (623) 876-3952

9401 W Thunderbird Rd
Ste 155
Peoria, AZ 85381
Phone (480) 659-7147

1848 E Thomas Rd
Ste 100
Phoenix, AZ 85016
Phone (602) 688-2342

1958 Commerce Center Cir
Prescott, AZ 86301

2600 E Southern Ave
Ste I1
Tempe, AZ 85282
Phone (480) 420-3600

14534 Old Saint Augustine Rd
Ste 3420
Jacksonville, FL 32258
Phone (904) 493-8001

836 Prudential Dr
Ste 1700
Jacksonville, FL 32207
Phone (904) 398-0125

Interoperability endpoints

  • Direct secure messaging: dominika.zoltowska.1@9401.direct.athenahealth.com
  • Direct secure messaging: dzoltowska336672@baptisthealthsystemjacksonville.direct-ci.com
  • FHIR API: https://api.platform.athenahealth.com/9401/brand/1/csg/1/fhir/r4

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786492800000",
    "number": "1407208622",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746652",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746652",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14534 OLD SAINT AUGUSTINE RD STE 3420",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322582645",
            "telephone_number": "904-493-8001",
            "fax_number": "904-376-3207"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10601 San Jose Blvd Ste 1402",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322578232",
            "country_code": "US",
            "telephone_number": "904-425-4566",
            "fax_number": "904-858-3289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZOLTOWSKA",
        "first_name": "DOMINIKA",
        "middle_name": "MARIA",
        "name_prefix": "Miss",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2026-08-12",
        "certification_date": "2026-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME176282",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.