Individual provider Active NPI

Martin P Dommers Jr., MD

  • Diagnostic Radiology Physician
  • Columbia, SC
National Provider Identifier
1821062332
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
12088 Issued in SC
Practice address
2000 Park St
Columbia, SC 29201-2011
Phone
(803) 462-3770
Fax
(803) 462-3771
NPI assigned
Feb 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 12088 SC Primary

Addresses

Primary practice location

2000 Park St
Columbia, SC 29201-2011

Mailing address

PO Box 1247
Covington, GA 30015-1247
Phone (803) 462-3770

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20100812000851 SC Practitioner - Diagnostic Radiology 8729112743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Imagecare LLCGroup PAC ID 8325949332, 8 clinicians

Practice addresses (Care Compare)

710 Rabon Rd
Suite 100
Columbia, SC 29203-8903
Phone (803) 256-7646

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12088SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lexington Open MRI, LLC Diagnostic Radiology CurrentSince Jan 21, 2019 Accepting new patients
Imagecare LLC Diagnostic Radiology CurrentSince Sep 1, 2002 Accepting new patients
Lexington Open MRI, LLC Diagnostic Radiology CurrentSince Jan 21, 2019 Accepting new patients
Palmetto Imaging, LLC Diagnostic Radiology CurrentSince Jan 21, 2019 Accepting new patients

Locations

710 Rabon Rd
Ste 100
Columbia, SC 29203
Phone (803) 256-7646

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1821062332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1247",
            "city": "COVINGTON",
            "state": "GA",
            "postal_code": "300151247",
            "telephone_number": "803-462-3770",
            "fax_number": "803-462-3771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PARK ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012011",
            "telephone_number": "803-462-3770",
            "fax_number": "803-462-3771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMMERS",
        "first_name": "MARTIN",
        "middle_name": "P",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "12088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

Verify at the official NPI Registry.