Active NPI
Maria Hoeller Dominguez, M.D.
- Emergency Medicine Physician
- Shreveport, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 330336
- Practice address
- 1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800 - Phone
- (318) 681-4500
- NPI assigned
- Apr 26, 2016
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 330336 | LA | Primary |
Addresses
Primary practice location
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105-6800
Mailing address
200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698
Other practice location 1
525 E 68th St
New York, NY 10065-4870
Phone (212) 746-0433
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, LA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2020 59TH St W
Blake Medical Center
Bradenton, FL 34209-4604
Phone (941) 792-6611
211 4TH St
Alexandria, LA 71301-8421
Phone (318) 769-3000
Hospital & facility affiliations
- Rapides Regional Medical Center
- HCA Florida Fawcett Hospital
- HCA Florida Blake Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 330336 | LA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Medicine Services of FL, LLC | Emergency Medicine | Current | Accepting new patients |
| St Tammany Emergency Physicians Group LLC | Emergency Medicine | Current | Accepting new patients |
| Highland Emergency Group, LLC | Emergency Medicine | Current | Accepting new patients |
| Riverside Emergency Physician Partners LLC | Emergency Medicine | Current | Accepting new patients |
| Southwest Florida Emergency Management LLC | Emergency Medicine | Current | Accepting new patients |
| Thse - Marco Urgent Care LLC | Current | Accepting new patients | |
| Delaware River Medicine, PLLC | Emergency Medicine | Current | Accepting new patients |
| Professional Emergency Physician Associates, LLC | Emergency Medicine | Current | Accepting new patients |
| Professional Emergency Medicine Management -- Lake Charles LLC | Emergency Medicine | Current | Accepting new patients |
Locations
2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303
322 SW Pine Island Rd
Cape Coral, FL 33991
Phone (941) 249-6858
14000 Fivay Rd
Hudson, FL 34667
Phone (727) 819-2929
40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079
20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
105 Tamiami Trl
Fl Tamiami
Port Charlotte, FL 33953
Dept AT952639
Atlanta, GA 31192
211 4th St
Alexandria, LA 71301
Phone (318) 473-3000
5000 Hennessy Blvd
Baton Rouge, LA 70808
Phone (225) 765-4050
2531 Viking Dr
Bossier City, LA 71111
Phone (318) 681-7000
1202 S Tyler St
Covington, LA 70433
Phone (985) 898-3743
200 Corporate Blvd
Lafayette, LA 70508
1701 Oak Park Blvd
Lake Charles, LA 70601
Phone (337) 494-3000
3983 I 49 S Service Rd
Opelousas, LA 70570
Phone (337) 407-4512
539 E Prudhomme St
Opelousas, LA 70570
Phone (337) 943-7128
1900 Main St
Sheridan, LA 70438
Phone (985) 839-4431
1453 E Bert Kouns Industrial Loop
#L
Shreveport, LA 71105
1453 E Bert Kouns Industrial Loop
Shreveport, LA 71105
Phone (318) 681-4138
160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000
15 Maple Ave
Warwick, NY 10990
Phone (845) 986-2224
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 9
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.
-
- Emergency Medicine Physician
- Covington, LA
- NPI 1891187654
-
- Emergency Medicine Physician
- Aventura, FL
- NPI 1043917180
-
- Emergency Medicine Physician
- Shreveport, LA
- NPI 1154913861
-
- Emergency Medicine Physician
- Lake Charles, LA
- NPI 1023430766
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1992758247
-
- Emergency Medicine Physician
- Lafayette, LA
- NPI 1083107080
-
- Emergency Medicine Physician
- Port Jervis, NY
- NPI 1457987521
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1780911206
-
- Internal Medicine Physician
- Marco Island, FL
- NPI 1801125331
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Alexandria, LA
- NPI 1477500015
-
- General Acute Care Hospital
- Port Charlotte, FL
- NPI 1417901406
-
- General Acute Care Hospital
- Bradenton, FL
- NPI 1114964244
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651104000000",
"number": "1548615628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 CORPORATE BLVD",
"city": "LAFAYETTE",
"state": "LA",
"postal_code": "705083870",
"telephone_number": "800-893-9698"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1453 E BERT KOUNS INDUSTRIAL LOOP",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711056800",
"telephone_number": "318-681-4500"
}
],
"practiceLocations": [
{
"address_1": "525 E 68th St",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100654870",
"country_code": "US",
"telephone_number": "212-746-0433",
"fax_number": "212-746-0887",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMINGUEZ",
"first_name": "MARIA",
"middle_name": "HOELLER",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-04-26",
"last_updated": "2022-04-28",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "LA",
"license": "330336",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.