Ralph Salib-O Domingo, NP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

APRN-3670 Issued in HI

Practice address

2180 Main St
Wailuku, HI 96793-1625

Phone

(808) 242-8080

NPI assigned

May 23, 2022

Last updated

May 23, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Ralph Salib-O Domingo Professional name

Medicare fee-for-service enrollment

Enrolled in HI

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Maui Medical Group IncGroup PAC ID 7214823368, 68 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Bayada Home Health Care Home health agency, Wailuku, HI, CCN 127309
• Home Health Maui Home health agency, Wailuku, HI, CCN 127003

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Maui Medical Group Inc

  • Internal Medicine Physician
  • Wailuku, HI
  • NPI 1215963970
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• B.C.P., Inc.

  dba BAYADA Home Health Care

  • Home Health Agency
  • Wailuku, HI
  • NPI 1942569702
  Care Compare affiliation
• Hale Makua Health Services

  • Home Health Agency
  • Wailuku, HI
  • NPI 1235132242
  Care Compare affiliation

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

{
    "created_epoch": "1653264000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653264000000",
    "number": "1528706207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2180 MAIN ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931625",
            "telephone_number": "808-249-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2180 MAIN ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931625",
            "telephone_number": "808-242-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGO",
        "first_name": "RALPH",
        "middle_name": "SALIB-O",
        "name_prefix": "Mr.",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-23",
        "last_updated": "2022-05-23",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "HI",
            "license": "APRN-3670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RALPH",
            "last_name": "DOMINGO",
            "middle_name": "SALIB-O",
            "prefix": "MR.",
            "credential": "RALPH DOMINGO NP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Matthew Disanto
• Arnold R Domenden
• Christine Domingo
• Jessica Salibo Domingo
• Katie Ann Kuuleialoha Domingo, RBT
• Rilan Grace Domingo
• Andrew Don, M.D.
• Cameron Wick Donaldson, MD
• Dorene Toutant LLC
• Karen L. Downard, MD

• Nurse Practitioner in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Nurse Practitioner in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; 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.

Verify at the official NPI Registry.