Active NPI
Robert Paul Domaleski, M.D.
- Internal Medicine Physician
- Golden, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 23839
- Practice address
- 5920 McIntyre St
Golden, CO 80403 - Phone
- (720) 434-4876
- NPI assigned
- Nov 13, 2006
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 23839 | CO | Primary |
Addresses
Primary practice location
5920 McIntyre St
Golden, CO 80403
Mailing address
5920 McIntyre St
Golden, CO 80403-7445
Phone (720) 434-4876
Other practice location 1
701 E Hampden Ave Ste 350
Englewood, CO 80113-3879
Phone (303) 788-6490
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01238393 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- George Washington University School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
999 17TH St
Suite 500
Denver, CO 80202-2728
Phone (720) 355-0539
Hospital & facility affiliations
- Denver Hospice the
- Brighton Hospice Colorado, LLC
- Cherrelyn Healthcare Center
- VI at Highlands Ranch Skilled Nursing
- Westwood Post Acute
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23839 | CO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Meadows Family Medical Center Inc | Current | Accepting new patients | |
| Signify Health Medical Associates, PLLC | Current | Accepting new patients |
Locations
7700 E Arapahoe Rd
Ste 220
Centennial, CO 80112
Phone (303) 285-1148
999 17th St
Ste 500
Denver, CO 80202
Phone (720) 355-0539
7900 E Union Ave
Ste 1100
Denver, CO 80237
Phone (469) 466-7420
5920 McIntyre St
Golden, CO 80403
Phone (303) 949-1250
11166 Huron St
Ste 27
Northglenn, CO 80234
Phone (303) 425-5536
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Denver, CO
- NPI 1962440412
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Community Based Hospice Care Agency
- Denver, CO
- NPI 1841847340
-
- Community Based Hospice Care Agency
- Denver, CO
- NPI 1003831835
-
- Inpatient Hospice
- Denver, CO
- NPI 1053024190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544140800000",
"number": "1427129378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5920 MCINTYRE ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "804037445",
"telephone_number": "720-434-4876",
"fax_number": "303-225-4246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5920 MCINTYRE ST",
"city": "GOLDEN",
"state": "CO",
"postal_code": "80403",
"telephone_number": "720-434-4876"
}
],
"practiceLocations": [
{
"address_1": "701 E Hampden Ave Ste 350",
"address_purpose": "LOCATION",
"city": "Englewood",
"state": "CO",
"postal_code": "801133879",
"country_code": "US",
"telephone_number": "303-788-6490",
"fax_number": "303-788-4448",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMALESKI",
"first_name": "ROBERT",
"middle_name": "PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2018-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "23839",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01238393",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Golden, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2018; 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.