James Patrick Dominici Jr., MPAS

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

5207 Heritage Ave
Colleyville, TX 76034-5915

Phone

(817) 355-8000

NPI assigned

Jul 26, 2023

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

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 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Elis Medical CorporationGroup PAC ID 9133160088, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Elis Medical Corporation

  • Multi-Specialty Clinic/Center
  • Colleyville, TX
  • NPI 1912032384
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1690329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1760163430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15057 SHADY TRAIL CIR",
            "city": "EUSTACE",
            "state": "TX",
            "postal_code": "751246519",
            "telephone_number": "817-899-6769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5207 HERITAGE AVE",
            "city": "COLLEYVILLE",
            "state": "TX",
            "postal_code": "760345915",
            "telephone_number": "817-355-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINICI",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_suffix": "Jr.",
        "credential": "MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-26",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annella Grace Didier, L.P.C.
• Susan Marie Dillinger, LPC, NCC
• Daniela Salkinder Dillman, NP
• Kayla Dillman, LPC
• Serena Dodds
• Donald P Frusher PA
• Rachel Ngosa Donkor
• Lauren Cristina Dorsett
• Manasa Dotson
• Steven Dotson, DC

• Physician Assistant in Colleyville, TX
• Providers in Colleyville, TX by specialty
• Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.