SHIRLEY ROSE RAMISCAL DOMINGO M.D.
NPI 1043331788
Surgery in Modesto, CA

Active since April 02, 2007PECOS EnrolledAccepts Medicare Assignment
1700 COFFEE RD, MODESTO, CA 95355(209) 526-4500 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 13, 2021, Jun 28, 2017 (2 updates tracked since 2017).

About Shirley Rose Ramiscal Domingo M.d. NPPES

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

SHIRLEY ROSE RAMISCAL DOMINGO M.D. (NPI 1043331788) is an individual surgery provider in Modesto, California, licensed in California (A115602) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1043331788
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameSHIRLEY ROSE RAMISCAL DOMINGOCredential: M.D.
Location Address1700 COFFEE RDModesto, CA 95355-2803
Mailing AddressPo Box 255228Sacramento, CA 95865-5228
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateApril 2, 2007
Last NPPES UpdateJune 17, 20262 updates tracked since enumeration
NPPES CertifiedJune 17, 2026
✔ NPI 1043331788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Licenses✔ Licensed in CA · A115602✔ Licensed in HI · MDR-5205✔ Licensed in MI · 4301082981
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1700 COFFEE RD, Modesto, CA 95355

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shirley Rose Ramiscal Domingo M.d. 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 ID7113173253
PECOS Enrollment IDI20161212000271
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.

Medicare Billing Reassignments

3

Medicare enrollment records show Shirley Rose Domingo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Trauma Surgery
1700 COFFEE RD
Modesto, CA 95355
  • Reassigned Medicare billing, California enrollment
  • 34 clinicians in this Medicare group
Ambulatory Surgical
1409 E BRIGGSMORE AVE
Modesto, CA 95355
430 mi
Internal Medicine
1799 KIOWA AVE STE 104
Lake Havasu City, AZ 86403
  • Reassigned Medicare billing, Arizona enrollment
  • 70 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 5

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.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
48 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
46 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
33 services18 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
25 services20 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95355 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
$90.32 typical visit price
range $58.87 – $176.60
Typical copayment $22.58 (range $14.71 – $44.15)
Most-billed visit code 99203
Established Patient
$73.16 typical visit price
range $19.28 – $144.60
Typical copayment $18.29 (range $4.82 – $36.15)
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 20

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

Radiology (Radiation Oncology)
1700 COFFEE RD
MODESTO, CA 95355
Pharmacist
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Nurse Practitioner
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355
Nurse Practitioner (Acute Care)
1700 COFFEE RD
MODESTO, CA 95355
Student in an Organized Health Care Education/Training Program
1700 COFFEE RD
MODESTO, CA 95355

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 Shirley Rose Domingo's NPI number?

The NPI number for Shirley Rose Domingo is 1043331788. It was assigned to this individual provider in the NPPES registry on April 2, 2007.

Where is Shirley Rose Domingo located?

Shirley Rose Domingo practices at 1700 Coffee Rd, Modesto, CA 95355. The listed phone number is (209) 526-4500.

What is Shirley Rose Domingo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Shirley Rose Domingo enrolled in Medicare?

Yes. Shirley Rose Domingo 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.

Which organizations bill Medicare for Shirley Rose Domingo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shirley Rose Domingo reassigns Medicare benefits to 3 organizations: Surgical Associates Inc (Modesto, CA), Sutter Valley Medical Foundation (Modesto, CA) and Hrmc, LLC (Lake Havasu City, AZ). 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 Shirley Rose Domingo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Shirley Rose Domingo was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.