DR. MICHAEL MATTHEW DOMINELLO DO
NPI 1003135500
Radiology - Radiation Oncology in Detroit, MI

Active since May 24, 2010PECOS EnrolledAccepts Medicare Assignment
4100 JOHN R, DETROIT, MI 48201(800) 527-6266(313) 576-9640 Get Directions Write a Review

NPPES record last updated: July 28, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Matthew Dominello Do NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. MICHAEL MATTHEW DOMINELLO DO (NPI 1003135500) is an individual radiation oncology provider in Detroit, Michigan, licensed in Michigan (5101019388) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1003135500
Entity TypeIndividualMale
Primary Taxonomy2085R0001X
Provider Legal NameDR. MICHAEL MATTHEW DOMINELLOCredential: DO
Location Address4100 JOHN RDetroit, MI 48201-2013
Mailing Address1560 E Maple Rd, Suite 400 - Credentialing DepartmentTroy, MI 48083-1138 · (800) 527-6266 · Fax (313) 576-9640
Fax(313) 576-9640
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateMay 24, 2010
Last NPPES UpdateJuly 28, 2015
NPI 1003135500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Radiation OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0001X
License Licensed in MI · 5101019388
Definition

A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors.

4100 JOHN R, Detroit, MI 48201

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Matthew Dominello Do is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214241785
PECOS Enrollment IDI20150729007443
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Calculation of radiation therapy dose 77300
Radiation therapy dose calculation is a process to determine the exact amount of radiation needed to treat a specific area in the body. This calculation helps ensure the treatment is effective while minimizing harm to healthy tissues. It's a key part of planning your radiation therapy.
110 services28 patients
Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
95 services37 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
77 services33 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
63 services24 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
52 services42 patients
Complex radiation therapy planning 77263
Complex radiation therapy planning is a process to determine the most effective way to deliver radiation to a specific area in your body. It involves detailed imaging to map your body's structure, allowing for precise targeting of cancer cells while sparing healthy tissue.
27 services27 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Harper University Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230104
Location3990 John R StreetDetroit, MI 48201 · Wayne County
Emergency services Birthing friendly

Detroit Receiving Hospital

Acute Care Hospitals · Detroit, MI
1/5 CMS rating
OwnershipProprietary
CMS Certification Number230273
Location4201 St Antoine St - 2CDetroit, MI 48201 · Wayne County
Emergency services

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI
3/5 CMS rating
OwnershipProprietary
CMS Certification Number230297
Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$177.36 typical visit price
range $58.04 – $177.36
Typical copayment $44.34 (range $14.51 – $44.34)
Most-billed visit code 99205
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Medical Oncology)
4100 JOHN R, KARMANOS CANCER CENTER
DETROIT, MI 48201
Nurse Practitioner
4100 JOHN R
DETROIT, MI 48201
Physician Assistant
4100 JOHN R, KARMANOS CANCER CENTER MIDLEVELS
DETROIT, MI 48201
Nurse Practitioner
4100 JOHN R, KARMANOS CANCER CENTER
DETROIT, MI 48201
Radiology (Radiation Oncology)
4100 JOHN R, GERSHENSON RADIATION ONCOLOGY CTR
DETROIT, MI 48201
Nurse Practitioner
4100 JOHN R, KARMANOS CANCER CENTER MIDLEVELS
DETROIT, MI 48201
Internal Medicine (Medical Oncology)
4100 JOHN R, KARMANOS CANCER CENTER
DETROIT, MI 48201
Internal Medicine (Medical Oncology)
4100 JOHN R, KARMANOS CANCER CENTER
DETROIT, MI 48201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Dominello's NPI number?

The NPI number for Michael Dominello is 1003135500. It was assigned to this individual provider in the NPPES registry on May 24, 2010.

Where is Michael Dominello located?

Michael Dominello practices at 4100 John R, Detroit, MI 48201. The listed phone number is (800) 527-6266.

What is Michael Dominello's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Radiation Oncology, with taxonomy code 2085R0001X.

Is Michael Dominello enrolled in Medicare?

Yes. Michael Dominello is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Michael Dominello accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Michael Dominello as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Michael Dominello affiliated with any hospitals?

According to CMS data, Michael Dominello is affiliated with Harper University Hospital, Detroit Receiving Hospital and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Michael Dominello was last updated on July 28, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.