Active NPI
Dominic F. Homan, M.D.
- Endocrinology, Diabetes & Metabolism Physician
- Gadsden, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- 00022313
- Practice address
- 100 Medical Center Dr
Suite #305
Gadsden, AL 35903-1134 - Phone
- (256) 494-0990
- Fax
- (256) 494-0948
- NPI assigned
- Mar 29, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 00022313 | AL | Primary |
Addresses
Primary practice location
100 Medical Center Dr
Suite #305
Gadsden, AL 35903-1134
Mailing address
100 Medical Center Dr
Suite #305
Gadsden, AL 35903-1134
Phone (256) 494-0990
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051041014 | Other | AL | BLUE CROSS BLUE SHIELD |
| 000041014 | Medicaid | AL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Wright State University Boonshoft School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2810 Rainbow Dr
Rainbow City, AL 35906-5811
Phone 2564940990102
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00022313 | AL | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enmpc | Endocrinology, Diabetes & Metabolism | Current | Accepting new patients |
Locations
100 Medical Center Dr
Ste 305
Gadsden, AL 35903
Phone (256) 494-0990
2810 Rainbow Dr
Rainbow City, AL 35906
Phone (256) 494-0990
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.
-
- Endocrinology, Diabetes & Metabolism Physician
- Gadsden, AL
- NPI 1336209246
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba DeKalb Regional Medical Center
- General Acute Care Hospital
- Fort Payne, AL
- NPI 1770344665
-
dba Marshall Medical Center
- General Acute Care Hospital
- Boaz, AL
- NPI 1407313760
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258416000000",
"number": "1982665980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER DR",
"address_2": "SUITE #305",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359031134",
"telephone_number": "256-494-0990",
"fax_number": "256-494-0948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL CENTER DR",
"address_2": "SUITE #305",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359031134",
"telephone_number": "256-494-0990",
"fax_number": "256-494-0948"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOMAN",
"first_name": "DOMINIC",
"middle_name": "F.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-29",
"last_updated": "2009-11-17",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "AL",
"license": "00022313",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "051041014",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000041014",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2009; 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.