Erik Domingues, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

257696 Issued in MA

Practice address

10 N Main St Ste 402
Fall River, MA 02720-2130

Phone

(508) 974-3037

Fax

(434) 423-4783

NPI assigned

Jun 30, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MA, RI2 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

Dermatology

Education

University of Massachusetts Medical School, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Modern Dermatology of Massachusetts, PLLCGroup PAC ID 9133564115, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edomingues@moderndermma.emadirect.md
• FHIR API: https://fhir4.healow.com/fhir/r4/AFBBBA

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.

• Modern Dermatology of Massachusetts, PLLC

  • Dermatology Physician
  • Fall River, MA
  • NPI 1831964915
  Medicare reassignment Care Compare group NPD Authorized official
• Skinpros LLC

  • Dermatology Physician
  • Providence, RI
  • NPI 1881966901
  Medicare reassignment NPD
• Surgical & Cosmetic Dermatology of Rhode Island, LLC

  • MOHS-Micrographic Surgery Physician
  • Providence, RI
  • NPI 1770770547
  NPD (past)

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

• Southcoast Hospitals Group, Inc

  • General Acute Care Hospital
  • Wareham, MA
  • NPI 1922024835
  Care Compare affiliation

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

{
    "created_epoch": "1277856000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714953600000",
    "number": "1962713370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 N MAIN ST STE 402",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202130",
            "telephone_number": "508-974-3037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 N MAIN ST STE 402",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202130",
            "telephone_number": "508-974-3037",
            "fax_number": "434-423-4783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUES",
        "first_name": "ERIK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-30",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "RI",
            "license": "MD16925",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "257696",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ED97325",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110100236A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marcellene S Doctor, M.D.
• Sophia C Doely, LPN
• Richard Doherty
• Adryon Domenico, MFTI
• Susan E. Domingue, LICSW
• Jacob Anthony Dominguez-Garcia
• Eric Dominguez, MD
• Dominion Diagnostics, LLC
• Jennifer Marie Domonte
• Peter Joseph Donahue

• Dermatology Physician in Fall River, MA
• Providers in Fall River, MA by specialty
• Dermatology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 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.