Active NPI
Dominic Musorofiti, PA-C
- Physician Assistant
- Round Rock, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA20128
- 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
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 |
|---|---|---|---|---|
| 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, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.85 of 100
- Quality
- 79.23
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 89.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA20128 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Total MD Physicians Group, PLLC | Current | 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
- dominic.musorofiti.p1@direct.shproviders.nextgenshare.com
- 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.
-
- Family Medicine Physician
- Austin, TX
- NPI 1982031852
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
- Urology Physician
- Great Neck, NY
- NPI 1053688572
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1033224704
-
- General Acute Care Hospital
- Southampton, NY
- NPI 1225507114
-
- General Acute Care Hospital
- Greenport, NY
- NPI 1881690691
-
- General Acute Care Hospital
- Stony Brook, NY
- NPI 1972523348
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.