NPIMap

Individual provider Active NPI

Dolores Dominguez Santamaria, MD

  • Neurology Physician
  • Pittsburgh, PA
National Provider Identifier
1982897864
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
MD442808 Issued in PA
Practice address
4815 Liberty Ave Ste 439
Pittsburgh, PA 15224-2156
Phone
(412) 578-3925
Fax
(412) 605-6361
NPI assigned
Aug 23, 2007
Last updated
Sep 30, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X MD442808 PA Primary

Addresses

Primary practice location

4815 Liberty Ave Ste 439
Pittsburgh, PA 15224-2156

Mailing address

4815 Liberty Ave Ste 439
Pittsburgh, PA 15224-2156
Phone (412) 578-3925

Other identifiers 2

IdentifierTypeStateIssuer
103332633MedicaidPA
12408993OtherCAQH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dsantamaria142314@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170908000900 PA Practitioner - Neurology 1557512183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

100 Medical Blvd
Canonsburg, PA 15317-9762
Phone (724) 745-6100

1301 Carlisle St
Natrona Heights, PA 15065-1152
Phone (724) 226-7380

320 E N Ave
Pittsburgh, PA 15212-4756

4815 Liberty Ave
Pittsburgh, PA 15224-2156

631 N Broad St Ext
Grove City, PA 16127-4603

631 N Broad St Extension
Agh Radiation Oncology
Grove City, PA 16127-4603
Phone (724) 450-7182

701 Broad St
Suite 431
Sewickley, PA 15143-1652
Phone (412) 741-0966

934 Freeport Rd
Pittsburgh, PA 15238-3100
Phone (412) 578-3925

970 Freeport Rd
Pittsburgh, PA 15238-3100
Phone (412) 578-5539

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Current Accepting new patients
Allegheny Clinic CurrentSince Sep 1, 2017 Accepting new patients
Allegheny Clinic Neurology CurrentSince Sep 1, 2017 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Allegheny Clinic Past Accepting new patients

Locations

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4815 Liberty Ave
Ste 439
Pittsburgh, PA 15224
Phone (412) 578-3925

701 Broad St
Ste 431
Sewickley, PA 15143
Phone (412) 741-0966

Interoperability endpoints

  • Direct secure messaging: dsantamaria142314@direct.ahn.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1187827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1982897864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 439",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-3925",
            "fax_number": "412-605-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 439",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-578-3925",
            "fax_number": "412-605-6361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINGUEZ SANTAMARIA",
        "first_name": "DOLORES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-23",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "PA",
            "license": "MD442808",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103332633",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12408993",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dsantamaria142314@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4815 Liberty Ave Ste 439",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152242156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.