Chad M Domangue, MD

Primary specialty

Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X

License

202018 Issued in LA

Practice address

76 Starbrush Cir
Covington, LA 70433-7208

Phone

(985) 801-0581

NPI assigned

May 21, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in LA

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 1

Specialty

Interventional Pain ManagementAlso: Neurology

Education

Louisiana State University School of Medicine in Shreveport, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Cypress Pointe Surgical Hospital Hospital, Hammond, LA, CCN 190303
• North Oaks Medical Center Hospital, Hammond, LA, CCN 190015

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3401/brand/1/csg/1/fhir/r4

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.

• Neuroscience & Pain Institute LLC

  • Interventional Pain Medicine Physician
  • Covington, LA
  • NPI 1528203957

  LA

  Medicare reassignment Authorized official
• Avala Physician Network, LLC

  • Multi-Specialty Clinic/Center
  • Covington, LA
  • NPI 1922694710

  LA

  Medicare reassignment NPD
• Avala Physician Network, LLC

  • Interventional Pain Medicine Physician
  • Hammond, LA
  • NPI 1497349815

  Neurology

  NPD (past)
• Northlake Neurological Institute LLC

  • Neurology Physician
  • Lacombe, LA
  • NPI 1689997561

  Neurology

  NPD (past)
• Paradigm Health System

  • Pain Medicine (Psychiatry & Neurology) Physician
  • Lacombe, LA
  • NPI 1043634454
  NPD (past)
• Paradigm Health System

  • Specialist
  • Covington, LA
  • NPI 1154661007
  NPD (past)
• Paradigm Health System

  • Specialist
  • Covington, LA
  • NPI 1720328313
  NPD (past)
• Paradigm Health System

  • Orthopaedic Surgery of the Spine Physician
  • Lacombe, LA
  • NPI 1780929604

  Neurology

  NPD (past)

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

• Cypress Pointe Physicians Network LLC

  • Rheumatology Physician
  • Hammond, LA
  • NPI 1881139533

  Hospital

  Care Compare affiliation
• Hammond Surgical Hospital, LLC

  • Special Hospital
  • Hammond, LA
  • NPI 1790094985

  Hospital

  Care Compare affiliation
• North Oaks Medical Center, LLC

  • Rural Acute Care Hospital
  • Hammond, LA
  • NPI 1144227539

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1629286646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337208",
            "telephone_number": "985-801-0581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 STARBRUSH CIR",
            "city": "COVINGTON",
            "state": "LA",
            "postal_code": "704337208",
            "telephone_number": "985-801-0581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMANGUE",
        "first_name": "CHAD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "LA",
            "license": "202018",
            "primary": true
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "KY",
            "license": "TP-366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tammy Nguyen DO, MD
• Sara Doctor, LMSW
• Doctors for Women Medical Center
• Laura Doherty, RN
• Dominique Dolese, PA-C
• Leslie Copeland Dominguez, M.D.
• Mark Jason Dominguez, M.D.
• Donald T Brown DDS Ms LTD
• Wendy Grim Doneyhue, M.D.
• Donna L. Hunstock Inc.

• All providers in Covington, LA
• Interventional Pain Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.