Active NPI
Ronaldo L Domingo, MD
- Gynecology Physician
- Newark, DE
National Provider Identifier
1861535544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- C1-0000661
- Practice address
- 620 Christiana Med Ctr
Newark, DE 19702 - Phone
- (302) 731-5548
- Fax
- (302) 738-6065
- NPI assigned
- Feb 14, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | C1-0000661 | DE | Primary |
Addresses
Primary practice location
620 Christiana Med Ctr
Newark, DE 19702
Mailing address
620 Christiana Med Ctr
Newark, DE 19702
Phone (302) 731-5548
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000110601 | Medicaid | DE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C1-0000661 | DE | MD | Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Francis Hospital Inc. | Gynecology | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Obstetrics & Gynecology Physician
- Wilmington, DE
- NPI 1861525925
Gynecology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210723200000",
"number": "1861535544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "620 CHRISTIANA MED CTR",
"city": "NEWARK",
"state": "DE",
"postal_code": "19702",
"telephone_number": "302-731-5548",
"fax_number": "302-738-6065"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "620 CHRISTIANA MED CTR",
"city": "NEWARK",
"state": "DE",
"postal_code": "19702",
"telephone_number": "302-731-5548",
"fax_number": "302-738-6065"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOMINGO",
"first_name": "RONALDO",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-14",
"last_updated": "2008-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "DE",
"license": "C1-0000661",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000110601",
"state": "DE"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newark, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.