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Individual provider Active NPI

James Neal Domingue, MD

  • Clinical Neurophysiology Physician
  • Lafayette, LA
National Provider Identifier
1699779645
Registry record updated Oct 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
012702 Issued in LA
Practice address
1245 S College Rd
Suite 100
Lafayette, LA 70503-2907
Phone
(337) 269-5840
Fax
(337) 237-7568
NPI assigned
Jun 8, 2005
Last updated
Oct 30, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 012702 LA
Clinical Neurophysiology Physician 2084N0600X 012702 LA Primary

Addresses

Primary practice location

1245 S College Rd
Suite 100
Lafayette, LA 70503-2907

Mailing address

1245 S College Rd
Ste 100
Lafayette, LA 70503-2907
Phone (337) 269-5840

Other identifiers 1

IdentifierTypeStateIssuer
1190497MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080107000668 LA Practitioner - Neurology 4789764416 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Louisiana State University School of Medicine in New Orleans, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Technology Institute USA LLCGroup PAC ID 1658425251, 4 clinicians

Practice addresses (Care Compare)

3535 S Sherwood Forest Blvd
Suite 249
Baton Rouge, LA 70816-2255
Phone (225) 293-6222

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
012702LAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Technology Institute USA LLC CurrentSince Oct 11, 2010 Accepting new patients
James N. Domingue M.D. Apmc Clinical Neurophysiology CurrentSince Dec 17, 2007 Accepting new patients
CJMD Health, LLC Neurology Past Accepting new patients
Omega Neuromonitoring PastSince May 24, 2020 Accepting new patients
Neuro Technology Institute PastSince Jan 26, 2022 Accepting new patients
Neuro Science Center of Acadiana LLC Clinical Neurophysiology PastSince Dec 16, 1998 Accepting new patients

Locations

3535 S Sherwood Frst
Ste 249
Baton Rouge, LA 70816
Phone (225) 292-6010

1245 S College Rd
Ste 100
Lafayette, LA 70503
Phone (337) 269-5840

501 W Saint Mary Blvd
Ste 304
Lafayette, LA 70506
Phone (318) 269-5840

913 S College Rd
Ste 103
Lafayette, LA 70503
Phone (337) 233-7223

Organizations & group practices 6

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.

Hospital & facility affiliations 11

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383091200000",
    "number": "1699779645",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1245 S COLLEGE RD",
            "address_2": "STE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032907",
            "telephone_number": "337-269-5840",
            "fax_number": "337-237-7568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 S COLLEGE RD",
            "address_2": "SUITE 100",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705032907",
            "telephone_number": "337-269-5840",
            "fax_number": "337-237-7568"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUE",
        "first_name": "JAMES",
        "middle_name": "NEAL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2013-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "012702",
            "primary": false
        },
        {
            "code": "2084N0600X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Clinical Neurophysiology",
            "state": "LA",
            "license": "012702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1190497",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lafayette, LA

Sources for this page

Verify at the official NPI Registry.