Active NPI
Ann Madeline Domask, M.D.
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1790780955
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- H4289
- Practice address
- 9055 Katy Fwy
Ste 200
Houston, TX 77024-1629 - Phone
- (713) 461-2915
- Fax
- (713) 461-5307
- NPI assigned
- Jun 15, 2005
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | H4289 | TX | Primary |
Addresses
Primary practice location
9055 Katy Fwy
Ste 200
Houston, TX 77024-1629
Mailing address
PO Box 392929 Ste 200
Pittsburgh, PA 15251-0001
Phone (713) 461-2915
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8433K2 | Other | TX | MEDICARE ID # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | madeline.domask.1@13711.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- 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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical Branch at Galveston, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
9055 Katy Fwy
Suite 200
Houston, TX 77024-1629
Phone (346) 646-4954
Hospital & facility affiliations
- Accentcare Home Health of Houston - North, LLC
- Memorial Hermann Memorial City Hospital
- Houston Methodist Hospital
- Houston Methodist West Hospital
- Memorial Hermann - Texas Medical Center
- Memorial Hermann Katy Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Villagemd of Southeast Texas, PA | Internal Medicine | Current | Accepting new patients |
| Villagemd of Southeast Texas, PA | Internal Medicine | Current | Accepting new patients |
Locations
9055 Katy Fwy
Ste 200
Houston, TX 77024
Phone (346) 980-2701
9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954
Interoperability endpoints
- madeline.domask.1@13711.direct.athenahealth.com
Organizations & group practices 2
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
- Houston, TX
- NPI 1841643327
Internal Medicine
-
- Family Medicine Physician
- Houston, TX
- NPI 1942857982
Internal Medicine
Hospital & facility affiliations 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Houston, TX
- NPI 1306544689
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
-
- General Acute Care Hospital
- Houston, TX
- NPI 1740233782
-
- General Acute Care Hospital
- Katy, TX
- NPI 1932152337
-
- General Acute Care Hospital
- Houston, TX
- NPI 1982666111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1790780955",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 392929 STE 200",
"city": "PITTSBURGH",
"state": "PA",
"postal_code": "152510001",
"telephone_number": "713-461-2915",
"fax_number": "713-461-5307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9055 KATY FWY",
"address_2": "STE 200",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770241629",
"telephone_number": "713-461-2915",
"fax_number": "713-461-5307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMASK",
"first_name": "ANN",
"middle_name": "MADELINE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-06-15",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "H4289",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID #",
"identifier": "8433K2",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "madeline.domask.1@13711.direct.athenahealth.com",
"affiliation": "N",
"endpointDescription": "Village Medical Texas",
"address_1": "9055 Katy Fwy",
"address_2": "Ste 200",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "770241629",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.