Individual provider Active NPI

Manuel Dominguez, M.D.

  • Nephrology Physician
  • Dallas, TX
National Provider Identifier
1700909801
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
N6262 Issued in TX
Practice address
5323 Harry Hines Blvd
Mail Code 8811
Dallas, TX 75390-9024
Phone
(214) 645-9741
NPI assigned
Apr 6, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X N6262 TX
Nephrology Physician 207RN0300X N6262 TX Primary

Addresses

Primary practice location

5323 Harry Hines Blvd
Mail Code 8811
Dallas, TX 75390-9024

Mailing address

5323 Harry Hines Blvd
Mail Code 8811
Dallas, TX 75390-9024
Phone (214) 645-9741

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, AR, MT, VA, KS, NC7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20130815000339 TX Practitioner - HospitalistPractitioner - NephrologyPractitioner - Internal Medicine 2860634193 Reassigns benefits to 5 organizations
I20230808000088 NM Practitioner - Nephrology 2860634193 Reassigns benefits to 1 organization
I20241211002865 AR Practitioner - Internal Medicine 2860634193 Reassigns benefits to 1 organization
I20250113001262 MT Practitioner - Internal Medicine 2860634193 Reassigns benefits to 1 organization
I20250122002686 VA Practitioner - Internal Medicine 2860634193 Reassigns benefits to 1 organization
I20250815000998 KS Practitioner - Internal Medicine 2860634193 Reassigns benefits to 1 organization
I20260124000448 NC Practitioner - Internal Medicine 2860634193 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Nephrology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Access Telecare PLLCGroup PAC ID 7810204831, 409 clinicians
Shannon ClinicGroup PAC ID 0840103727, 550 clinicians
Ap US 14 PAGroup PAC ID 5698185908, 27 clinicians

Practice addresses (Care Compare)

Spring, TX 77382
Phone (972) 449-0540

Shenandoah, TX 77384
Phone (972) 449-0540

San Antonio, TX 78255
Phone (972) 449-0540

120 E Harris Ave
San Angelo, TX 76903-5904
Phone (325) 747-6741

1401 Zeno Rd
Apex, NC 27502-8599
Phone (972) 449-0540

2 Calle Final
Placitas, NM 87043-9214
Phone (972) 449-0540

208 Sologne CT
Little Rock, AR 72223-8915
Phone (972) 449-0540

2430 W Pierce St
Carlsbad, NM 88220-3553
Phone (972) 449-0540

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (972) 449-0540

4 Osprey TRL
Asheville, NC 28806-0152
Phone (972) 449-0540

400 SW 25TH Ave
Mineral Wells, TX 76067-8246
Phone (972) 449-0540

4920 NE Stallings Dr
Nacogdoches, TX 75965-1254
Phone (972) 449-0540

600 Medical Ctr Dr
Newton, KS 67114-8780
Phone (972) 449-0540

609 W Maple Ave
Springdale, AR 72764-5335
Phone (972) 449-0540

6700 Chad Colley Blvd
Fort Smith, AR 72916-6120
Phone (972) 449-0540

Hospital & facility affiliations

  • FKC Red Arroyo Dialysis facility, San Angelo, TX, CCN 742587
  • Shannon Medical Center Hospital, San Angelo, TX, CCN 450571
  • Heart of Texas Memorial Hospital Hospital, Brady, TX, CCN 451348
  • Lillian M Hudspeth Memorial Hospital Hospital, Sonora, TX, CCN 451324
  • Ballinger Memorial Hospital Hospital, Ballinger, TX, CCN 451310

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
University of Texas Southwestern Medical Center at Dallas Internal Medicine CurrentSince Mar 26, 2015 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Mar 26, 2015 Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
Shannon Clinic Internal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Star Ed PLLC CurrentSince Jun 14, 2020 Accepting new patients
Ap US 14, PA Internal Medicine CurrentSince Jun 23, 2025 Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Andrew Levine MD PA Nephrology CurrentSince Oct 1, 2018 Accepting new patients
Access Telecare California, P.C. Internal Medicine PastSince Sep 18, 2023 Accepting new patients

Locations

600 Medical Center Dr
Newton, KS 67114
Phone (316) 283-2700

3201 W State Highway 22
Corsicana, TX 75110
Phone (903) 654-6800

2201 Inwood Rd
Dallas, TX 75235
Phone (214) 645-2563

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

1801 Inwood Rd
Fl Seventh
Dallas, TX 75235

18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409

1200 E Savannah Ave
Ste 4
McAllen, TX 78503
Phone (956) 383-4041

3150 Horizon Rd
Rockwall, TX 75032
Phone (469) 697-1000

120 E Beauregard Ave
San Angelo, TX 76903
Phone (915) 658-1511

120 E Harris Ave
San Angelo, TX 76903
Phone (325) 653-6741

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 10

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 7

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": "1175817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1700909801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "address_2": "MAIL CODE 8811",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909024",
            "telephone_number": "214-645-9741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5323 HARRY HINES BLVD",
            "address_2": "MAIL CODE 8811",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753909024",
            "telephone_number": "214-645-9741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-06",
        "last_updated": "2023-10-31",
        "certification_date": "2023-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "N6262",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "N6262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.