Individual provider Active NPI

Alvaro Jose Dominguez, MD

  • Interventional Cardiology Physician
  • New York, NY
National Provider Identifier
1891806881
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
175733 Issued in NY
Practice address
715 W 170TH St Ste LH
New York, NY 10032-2907
Phone
(718) 836-0009
Fax
(718) 836-1811
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 175733 NY Primary

Addresses

Primary practice location

715 W 170TH St Ste LH
New York, NY 10032-2907

Mailing address

715 W 170TH St Ste LH
New York, NY 10032-2907
Phone (718) 836-0009

Other practice location 1

7401 4th Ave Apt A1
Brooklyn, NY 11209-2542
Phone (718) 836-0009

Other identifiers 1

IdentifierTypeStateIssuer
01241318MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20060315000685 NY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Peripheral Vascular Disease 3375550338 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Peripheral Vascular Disease
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
North Shore-Lij Medical PCGroup PAC ID 3375701568, 6,374 clinicians

Practice addresses (Care Compare)

100 E 77TH St
New York, NY 10075-1850
Phone (212) 434-2140

715 W 170TH St
Suite LH
New York, NY 10032-2907
Phone (212) 781-3722

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.07 of 100Reported as apm
Quality
79.77
Promoting interoperability
88.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Complete Cardiovascular Care PC CurrentSince Feb 26, 2017 Accepting new patients
NYU Langone Hospitals CurrentSince Jan 10, 2017 Accepting new patients
North Shore-Lij Medical PC CurrentSince Mar 1, 2017 Accepting new patients
NYU Langone Hospitals CurrentSince Jan 10, 2017 Accepting new patients
NYU Langone Hospitals Current Accepting new patients
Cardiovascular Consultant of New York, P.C. Interventional Cardiology CurrentSince Jun 1, 2015 Accepting new patients
Brooklyn Nuclear Spect Imaging, PC Past Accepting new patients
LMC Physician Services, PC Past Accepting new patients

Locations

7401 4th Ave
Brooklyn, NY 11209
Phone (718) 393-3844

237 82nd St
Brooklyn, NY 11209
Phone (718) 836-0009

88 Seigel St
Brooklyn, NY 11206
Phone (718) 388-5770

150 55th St
Rm 3618
Brooklyn, NY 11220
Phone (718) 630-7477

150 55th St
Brooklyn, NY 11220
Phone (718) 630-7185

5616 6th Ave
Brooklyn, NY 11220
Phone (718) 439-5440

8714 5th Ave
Brooklyn, NY 11209
Phone (718) 630-8600

7803 4th Ave
Brooklyn, NY 11209
Phone (718) 491-4949

100 E 77th St
New York, NY 10075
Phone (212) 434-2606

301 E 17th St
New York, NY 10003
Phone (212) 460-0125

300 Community Dr
Plandome, NY 11030

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FIACDA
  • Direct secure messaging: adominguez132629@nyumc.direct-ci.com

Organizations & group practices 8

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.

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1891806881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "715 W 170TH ST STE LH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322907",
            "telephone_number": "718-836-0009",
            "fax_number": "718-836-1811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W 170TH ST STE LH",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100322907",
            "telephone_number": "718-836-0009",
            "fax_number": "718-836-1811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7401 4th Ave Apt A1",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112092542",
            "country_code": "US",
            "telephone_number": "718-836-0009",
            "fax_number": "718-836-1811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINGUEZ",
        "first_name": "ALVARO",
        "middle_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NY",
            "license": "175733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01241318",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.