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ANTONIO ALBERTO DOMINGUEZ MD
NPI 1063107399
Student in an Organized Health Care Education/Training Program in Richmond, VA

Active since April 11, 2023PECOS Enrolled
1001 E LEIGH ST, RICHMOND, VA 23298(804) 828-9783 Get Directions Write a Review

NPPES record last updated: June 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 15, 2024, May 2, 2023, Apr 11, 2023 (3 updates tracked since 2023).

About Antonio Alberto Dominguez Md NPPES

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

ANTONIO ALBERTO DOMINGUEZ MD (NPI 1063107399) is an individual student in an organized health care education/training program in Richmond, Virginia, licensed in Virginia (0116037954) and active in the NPI registry since April 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063107399
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameANTONIO ALBERTO DOMINGUEZCredential: MD
Location Address1001 E LEIGH STRichmond, VA 23298-5004
Mailing AddressVcuhs Gme Admin, 1200 East Broad Street, Box 980257Richmond, VA 23298-0257 · (804) 828-9783
Phone(804) 828-9783
Sole ProprietorNo
Enumeration DateApril 11, 2023
Last NPPES UpdateJune 15, 20243 updates tracked since enumeration
NPPES CertifiedMay 24, 2023
✔ NPI 1063107399 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in VA · 0116037954
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1001 E LEIGH ST, Richmond, VA 23298
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Antonio Alberto Dominguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

ZACHARY KIERNAN MD
Surgery
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 628-2372
DR. SUHA SULIMAN MD
Obstetrics & Gynecology
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 828-4409
MICHAEL MARTIN
Internal Medicine (Rheumatology)
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 828-2161
DR. LUIS ALFONSO GONZALEZ MIRANDA MD, MPH
Urology
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 828-9331
GABRIELLA ELENA KAYAL
Psychiatry & Neurology (Neurology)
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 828-2515
DR. SCOTT P STRINGER
Otolaryngology
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 628-4368
DR. SARAH WRIGHT GILLS AU.D.
Audiologist
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 828-0431
ENKHBILEG DENDEV MD
Obstetrics & Gynecology
1001 E LEIGH ST
RICHMOND, VA 23298
Richmond City (804) 828-4409

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 Antonio Dominguez's NPI number?

The NPI number for Antonio Dominguez is 1063107399. It was assigned to this individual provider in the NPPES registry on April 11, 2023.

Where is Antonio Dominguez located?

Antonio Dominguez practices at 1001 E Leigh St, Richmond, VA 23298. The listed phone number is (804) 828-9783.

What is Antonio Dominguez's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Antonio Dominguez enrolled in Medicare?

Yes. Antonio Dominguez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Antonio Dominguez was last updated on June 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.