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DR. DOMINICK JOHN GADALETA M.D.
NPI 1114339942
Otolaryngology - Facial Plastic Surgery in Palo Alto, CA

Active since May 28, 2014PECOS EnrolledAccepts Medicare Assignment
1795 EL CAMINO REAL STE 200, PALO ALTO, CA 94306(650) 321-7100 Get Directions Write a Review

NPPES record last updated: November 20, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Dominick John Gadaleta M.d. NPPES

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

DR. DOMINICK JOHN GADALETA M.D. (NPI 1114339942) is an individual facial plastic surgery provider in Palo Alto, California, licensed in California (169091) and active in the NPI registry since May 2014. He is enrolled in Medicare PECOS and is a graduate of Boston University School Of Medicine (2014).

NPPES Registry Identity

NPI1114339942
Entity TypeIndividualMale
Primary Taxonomy207YS0123X
Provider Legal NameDR. DOMINICK JOHN GADALETACredential: M.D.
Location Address1795 EL CAMINO REAL STE 200Palo Alto, CA 94306-1165
Mailing Address1795 El Camino Real Ste 200Palo Alto, CA 94306-1165 · (650) 321-7100
Phone(650) 321-7100
Sole ProprietorYes
Medical School CMSBoston University School Of MedicineGraduated 2014
Enumeration DateMay 28, 2014
Last NPPES UpdateNovember 20, 2020
NPPES CertifiedNovember 20, 2020
✔ NPI 1114339942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngology · Facial Plastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207YS0123X
License✔ Licensed in CA · 169091
Definition
An otolaryngologist who specializes in facial plastic surgery.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1795 EL CAMINO REAL STE 200, Palo Alto, CA 94306
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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

Dr. Dominick John Gadaleta 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 ID3870896244
PECOS Enrollment IDI20210413002828
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

2

Medicare enrollment records show Dominick Gadaleta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

County Of Santa Clara
0.6 mi
Mental Health (Including Community Mental Health Center)
231 GRANT AVENUE
Palo Alto, CA 94306
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1588721500 (California), NPI 1629301346 (California)
  • 2,460 clinicians in this Medicare group
NPI 1144330614 (650) 321-5545
Og Medical Inc
26 mi
Facial Plastic Surgery
345 FRANCONIA ST
San Francisco, CA 94110
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1386392264 (804) 513-6252

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

ELITE TRANSFORMATIONS, A PROFESSIONAL MEDICAL CORPORATION
Surgery (Plastic and Reconstructive Surgery)
1795 EL CAMINO REAL STE 200
PALO ALTO, CA 94306
Santa Clara County (888) 844-5665

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 Dominick Gadaleta's NPI number?

The NPI number for Dominick Gadaleta is 1114339942. It was assigned to this individual provider in the NPPES registry on May 28, 2014.

Where is Dominick Gadaleta located?

Dominick Gadaleta practices at 1795 El Camino Real Ste 200, Palo Alto, CA 94306. The listed phone number is (650) 321-7100.

What is Dominick Gadaleta's specialty?

The primary specialty registered for this NPI is Otolaryngology, specializing in Facial Plastic Surgery, with taxonomy code 207YS0123X.

Is Dominick Gadaleta enrolled in Medicare?

Yes. Dominick Gadaleta 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 Dominick Gadaleta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominick Gadaleta reassigns Medicare benefits to 2 organizations: County Of Santa Clara (Palo Alto, CA) and Og Medical Inc (San Francisco, CA). 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 Dominick Gadaleta'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 Dominick Gadaleta was last updated on November 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.