Louis Domenico Jr., MD

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

License

MD426532 Issued in PA

Practice address

2412-14 West Passyunk Avenue
Philadelphia, PA 19145-4114

Phone

(215) 462-2100

Fax

(215) 462-3100

NPI assigned

Oct 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Interventional RadiologyAlso: Diagnostic Radiology

Education

State University of New York at Buffalo School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Access Care of SP LLCGroup PAC ID 2365411469, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

74.53 of 100Reported as group

Quality

67.3

Promoting interoperability

87

Improvement activities

40

Cost

25.28

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: louis.domenico.p40@direct.aac.nextgenshare.com
• Direct secure messaging: louis.domenico.p60@direct.aac.nextgenshare.com

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.

• American Access Care of SP LLC

  • Vascular & Interventional Radiology Physician
  • Philadelphia, PA
  • NPI 1588639819
  Medicare reassignment Care Compare group NPD
• American Access Care of Pennsylvania LLC

  • Vascular & Interventional Radiology Physician
  • Philadelphia, PA
  • NPI 1063487627
  Medicare reassignment NPD
• Barden Thorwarth Daughtridge LTD

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1972597565
  Medicare reassignment NPD
• American Access Care of Pennsylvania LLC

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1942516430
  NPD
• American Access Care of Pittsburgh, LLC

  • Vascular & Interventional Radiology Physician
  • Pittsburgh, PA
  • NPI 1285672725
  NPD (past)
• American Access Care of SP ASC LLC

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1790237501
  NPD (past)
• Diagnostic Imaging Inc

  • Diagnostic Radiology Physician
  • Philadelphia, PA
  • NPI 1093786410
  NPD (past)
• Quantum Imaging & Therapeutic Associates Inc

  • Diagnostic Radiology Physician
  • Lewisberry, PA
  • NPI 1609863893
  NPD (past)
• Reprochoice LLC

  • Specialist
  • Pittsburgh, PA
  • NPI 1326073933
  NPD (past)
• Albany Medical Center Hospital

  • General Acute Care Hospital
  • Albany, NY
  • NPI 1811917461
  NPD (past)
• Albany Medical Center South Clinical Campus

  • Diagnostic Ultrasound Physician
  • Albany, NY
  • NPI 1669408332

  Diagnostic Radiology

  NPD (past)

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1942380902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 416147",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022416147",
            "telephone_number": "610-644-8900",
            "fax_number": "484-924-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412-14 WEST PASSYUNK AVENUE",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454114",
            "telephone_number": "215-462-2100",
            "fax_number": "215-462-3100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMENICO",
        "first_name": "LOUIS",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD426532",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NJ",
            "license": "25MA08328500",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NJ",
            "license": "25MA08328500",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "PA",
            "license": "MD426532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157562",
            "state": "NJ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00823218",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017778250003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle L Dolt, CRNP
• Pushpa N. Domadia, D.D.S.
• Dayna Marie Dombrowsky, DNP, CRNA
• Susan M Domchek, MD
• Emneris Domenech, LBS
• Gary F Domeracki, MD
• Gabrielle Kate Garces Domingo, CRNP
• Leticia Domingo, CRNP, RN
• Eduardo Dominguez Castillo, M.D.
• Estrella Dominguez de la Rosa

• Vascular & Interventional Radiology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Vascular & Interventional Radiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2021; 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.