Neysa Alexandra Dominguez, D.O

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

158901 Issued in AK

Practice address

2801 Debarr Rd
Anchorage, AK 99508-2932

Phone

(907) 276-1131

NPI assigned

May 19, 2016

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in OH, AK2 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 2

Specialty

Emergency Medicine

Education

Ohio University, College of Osteopathic Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Denali Emergency Medicine Assoc PCGroup PAC ID 0042102287, 21 clinicians

Ketchikan Emergency Physicians, LLCGroup PAC ID 8820500135, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Alaska Regional Hospital Hospital, Anchorage, AK, CCN 020017
• Peacehealth Ketchikan Medical Center Hospital, Ketchikan, AK, CCN 021311

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10052317

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.

• Denali Emergency Medicine Assoc PC

  • Emergency Medicine Physician
  • Anchorage, AK
  • NPI 1669406831
  Medicare reassignment Care Compare group NPD
• Ketchikan Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Ketchikan, AK
  • NPI 1801690854
  Medicare reassignment Care Compare group NPD
• Nes Washington, Inc.

  • Emergency Medicine Physician
  • Ketchikan, AK
  • NPI 1215239595
  Medicare reassignment NPD
• Partners Physician Group

  • Surgery Physician
  • Akron, OH
  • NPI 1841239274
  Medicare reassignment NPD
• Pomerene Hospital

  • Critical Access Hospital
  • Millersburg, OH
  • NPI 1770957185
  Medicare reassignment NPD
• Peacehealth

  dba Ketchikan Medical Center

  • Diagnostic Radiology Physician
  • Ketchikan, AK
  • NPI 1801965736
  Medicare reassignment
• Partners Physician Group

  dba Community Access and Wellness - HWE

  • Public Health & General Preventive Medicine Physician
  • Akron, OH
  • NPI 1164814414
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Galen Hospital Alaska, Inc.

  dba Alaska Regional Hospital

  • General Acute Care Hospital
  • Anchorage, AK
  • NPI 1952348047
  Care Compare affiliation
• Peacehealth

  dba Ketchikan Medical Center

  • Critical Access Hospital
  • Ketchikan, AK
  • NPI 1396705539
  Care Compare affiliation

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1851748925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 920137",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753920137",
            "telephone_number": "888-735-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 DEBARR RD",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995082932",
            "telephone_number": "907-276-1131"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3100 Tongass Ave",
            "address_purpose": "LOCATION",
            "city": "Ketchikan",
            "state": "AK",
            "postal_code": "999015746",
            "country_code": "US",
            "telephone_number": "907-225-5171",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "NEYSA",
        "middle_name": "ALEXANDRA",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-19",
        "last_updated": "2024-12-17",
        "certification_date": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "34.014282",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AK",
            "license": "158901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Maiah Doll, FNP
• Ajanae Dollison
• Jennifer D Dolphin, LPC
• Karleen Grace Dominguez
• Mateo Dominguez Jr.
• Mindi Domitrovich, LMT
• Robert E. Donaghy, OD
• Donald E Burk DMD PC
• Donald W. Dippe MD a Professional Corporation
• Davelynn Akiko Donald

• Emergency Medicine Physician in Anchorage, AK
• Providers in Anchorage, AK by specialty
• Emergency Medicine Physician in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; 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.