Individual provider Active NPI

Dominic Musorofiti, PA-C

  • Physician Assistant
  • Round Rock, TX
National Provider Identifier
1699416115
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA20128 Issued in TX
Practice address
2200 E Palm Valley Blvd Ste 118
Round Rock, TX 78665-4534
Phone
(512) 318-2174
Fax
(512) 782-9316
NPI assigned
Apr 6, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA20128 TX Primary

Addresses

Primary practice location

2200 E Palm Valley Blvd Ste 118
Round Rock, TX 78665-4534

Mailing address

2200 E Palm Valley Blvd Ste 118
Round Rock, TX 78665-4534
Phone (512) 318-2174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221208000133 NY Practitioner - Physician Assistant 1951770221 Reassigns benefits to 2 organizations
I20260421004237 TX Practitioner - Physician Assistant 1951770221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

603 Louis Henna Blvd
Suite B140
Round Rock, TX 78664-4102
Phone (512) 200-2269

Hospital & facility affiliations

  • Suny/Stony Brook University Hospital Hospital, Stony Brook, NY, CCN 330393

Merit-based Incentive Payment System (MIPS)

Final score
91.85 of 100Reported as group
Quality
79.23
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
89.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA20128TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total MD Physicians Group, PLLC CurrentSince Feb 13, 2022 Accepting new patients

Locations

4301 W William Cannon Dr
#300
Austin, TX 78749
Phone (512) 222-8868

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

2200 E Palm Valley Blvd
Ste 118
Round Rock, TX 78665
Phone (512) 318-2174

603 Louis Henna Blvd
Ste B140
Round Rock, TX 78664
Phone (512) 200-2269

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: dominic.musorofiti.p1@direct.shproviders.nextgenshare.com
  • Direct secure messaging: coastalmdintegrativehealthandwellness.dominicmusorofiti@155472.advancedmd-direct.com

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1649203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1699416115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 E PALM VALLEY BLVD STE 118",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786654534",
            "telephone_number": "512-318-2174",
            "fax_number": "512-782-9316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E PALM VALLEY BLVD STE 118",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786654534",
            "telephone_number": "512-318-2174",
            "fax_number": "512-782-9316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSOROFITI",
        "first_name": "DOMINIC",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-06",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA20128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Round Rock, TX

Sources for this page

Verify at the official NPI Registry.