KENNETH WILLIAM DOMUCZICZ JR. MD
NPI 1043275258
Emergency Medicine in Austin, TX
About Kenneth William Domuczicz Jr. Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNETH WILLIAM DOMUCZICZ JR. MD (NPI 1043275258) is an individual emergency medicine provider in Austin, Texas, licensed in Texas (L6865) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 8
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kenneth William Domuczicz Jr. Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Kenneth Domuczicz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Austin, TX 78705
- Reassigned Medicare billing, Texas enrollment
- 1,511 clinicians in this Medicare group
Lakeway, TX 78734
- Reassigned Medicare billing, Texas enrollment
- 77 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78705 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
AUSTIN, TX 78705
AUSTIN, TX 78705
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 Kenneth Domuczicz's NPI number?
The NPI number for Kenneth Domuczicz is 1043275258. It was assigned to this individual provider in the NPPES registry on April 19, 2006.
Where is Kenneth Domuczicz located?
Kenneth Domuczicz practices at 1201 W 38th St #101, Austin, TX 78705. The listed phone number is (512) 324-1010.
What is Kenneth Domuczicz's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kenneth Domuczicz enrolled in Medicare?
Yes. Kenneth Domuczicz is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Kenneth Domuczicz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kenneth Domuczicz reassigns Medicare benefits to 2 organizations: Travis County Emergency Physicians PA (Austin, TX) and Cec Lakeway Urgent Care Physicians PLLC (Lakeway, TX). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kenneth Domuczicz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kenneth Domuczicz accept?
Health plans from Baylor Scott and White Health Plan, Blue Cross and Blue Shield of Texas, Harbor Health, Molina Healthcare and Sendero Health Plans, Local Nonprofit list Kenneth Domuczicz 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.
When was this NPI record last updated?
The NPPES record for Kenneth Domuczicz was last updated on March 25, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kenneth William Domuczicz Jr., MD · NPI 1043275258
Emergency Medicine physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since April 19, 2006.
## Identity
- **NPI:** 1043275258 (Entity type: Individual)
- **Enumerated:** April 19, 2006
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** L6865 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1201 W 38TH ST, #101, Austin, TX 78705-1006
- **Phone:** (512) 324-1010
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Travis County Emergency Physicians PA (NPI 1962440933, Austin, TX); Cec Lakeway Urgent Care Physicians PLLC (NPI 1285088161, Lakeway, TX) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 25, 2008
- **Other identifiers:** Medicare PIN 8B7817 (TX); Medicare PIN 8F1931 (TX); Medicare PIN 8B2214 (TX); and 5 more
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Source: [NPI Profile](https://npiprofile.com/npi/1043275258) · Data from the CMS NPPES public registry.