Individual provider Active NPI

Jeff Lewis Domingus, D.O.

  • Family Medicine Physician
  • Harrisonburg, VA
National Provider Identifier
1780810069
Registry record updated Mar 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0102204875 Issued in VA
Practice address
1380 Little Sorrell Dr Ste 100
Harrisonburg, VA 22801
Phone
(540) 433-4913
Fax
(540) 433-4915
NPI assigned
Jun 1, 2009
Last updated
Mar 12, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0102204875 VA Primary

Addresses

Primary practice location

1380 Little Sorrell Dr Ste 100
Harrisonburg, VA 22801

Mailing address

375 Montevista Ave
Marion, NC 28752-3389
Phone (828) 803-9030

Other practice location 1

339 Nebo School Rd
Nebo, NC 28761-6848
Phone (828) 652-6326

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170809004281 VA Practitioner - Family Practice 3870764608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Harrisonburg Community Health CenterGroup PAC ID 1759444581, shared by 5 NPIs, 16 clinicians

Practice addresses (Care Compare)

1380 Little Sorrell Dr
Harrisonburg, VA 22801-7372
Phone (540) 433-4913

1380 Little Sorrell Dr
Suite 100
Harrisonburg, VA 22801-7370

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0102204875VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Harrisonburg Community Health Center CurrentSince Jul 10, 2017 Accepting new patients
Harrisonburg Community Health Center Inc Family Medicine CurrentSince Apr 24, 2017 Accepting new patients
Harrisonburg Community Health Center CurrentSince Apr 24, 2017 Accepting new patients
Harrisonburg Community Health Center Family Medicine Current Accepting new patients
McDowell Hospital Family Medicine Past Accepting new patients
Hospice of McDowell County Inc PastSince Jan 1, 2013 Accepting new patients

Locations

800 Shenandoah Ave
#170
Elkton, VA 22827
Phone (540) 298-9900

1380 Little Sorrell Dr
Ste 100
Harrisonburg, VA 22801
Phone (540) 433-4913

563 Neff Ave
Ste A
Harrisonburg, VA 22801
Phone (540) 214-9870

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 1

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": "1243814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552348800000",
    "number": "1780810069",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375 MONTEVISTA AVE",
            "city": "MARION",
            "state": "NC",
            "postal_code": "287523389",
            "telephone_number": "828-803-9030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 LITTLE SORRELL DR STE 100",
            "city": "HARRISONBURG",
            "state": "VA",
            "postal_code": "22801",
            "telephone_number": "540-433-4913",
            "fax_number": "540-433-4915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "339 Nebo School Rd",
            "address_purpose": "LOCATION",
            "city": "Nebo",
            "state": "NC",
            "postal_code": "287616848",
            "country_code": "US",
            "telephone_number": "828-652-6326",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUS",
        "first_name": "JEFF",
        "middle_name": "LEWIS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-01",
        "last_updated": "2019-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102204875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisonburg, VA

Sources for this page

Verify at the official NPI Registry.