DR. ANTHONY JOSEPH DOMENIGONI D.P.M.
NPI 1124137187
Podiatrist - Foot & Ankle Surgery in Vancouver, WA

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
203 SE PARK PLAZA DR, VANCOUVER, WA 98684(360) 449-7040 Get Directions Write a Review

NPPES record last updated: February 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anthony Joseph Domenigoni D.p.m. NPPES

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

DR. ANTHONY JOSEPH DOMENIGONI D.P.M. (NPI 1124137187) is an individual foot & ankle surgery provider in Vancouver, Washington, licensed in Oregon (DP00353) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of William M. Scholl College Of Podiatric Medicine (2001).

NPPES Registry Identity

NPI1124137187
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. ANTHONY JOSEPH DOMENIGONICredential: D.P.M.
Location Address203 SE PARK PLAZA DRVancouver, WA 98684-5886
Mailing Address15023 Se Pebble Beach DrHappy Valley, OR 97086-7330 · (503) 698-2869
Sole ProprietorNo
Medical School CMSWilliam M. Scholl College Of Podiatric MedicineGraduated 2001
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 4, 2022
NPI 1124137187 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
Licenses Licensed in OR · DP00353 Licensed in WA · PO00000777
203 SE PARK PLAZA DR, Vancouver, WA 98684

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. Anthony Joseph Domenigoni D.p.m. 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 ID5890728661
PECOS Enrollment IDI20050913000282
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 17

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

Orthopaedic Surgery (Hand Surgery)
203 SE PARK PLAZA DR, SUITE 140
VANCOUVER, WA 98684
Specialist
203 SE PARK PLAZA DR, STE 140
VANCOUVER, WA 98684
Orthopaedic Surgery
203 SE PARK PLAZA DR, MILL PLAIN ONE MEDICAL PLAZA
VANCOUVER, WA 98684
Counselor (Mental Health)
203 SE PARK PLAZA DR, SUITE 105
VANCOUVER, WA 98684
Marriage & Family Therapist
203 SE PARK PLAZA DR
VANCOUVER, WA 98684
Orthopaedic Surgery
203 SE PARK PLAZA DR, STE 140
VANCOUVER, WA 98684
Otolaryngology
203 SE PARK PLAZA DR, SUITE 140
VANCOUVER, WA 98684
Podiatrist (Foot Surgery)
203 SE PARK PLAZA DR, SUITE 140
VANCOUVER, WA 98684

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 Anthony Domenigoni's NPI number?

The NPI number for Anthony Domenigoni is 1124137187. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Anthony Domenigoni located?

Anthony Domenigoni practices at 203 SE Park Plaza Dr, Vancouver, WA 98684. The listed phone number is (360) 449-7040.

What is Anthony Domenigoni's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Anthony Domenigoni enrolled in Medicare?

Yes. Anthony Domenigoni 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 Anthony Domenigoni accept?

Health plans from Kaiser Permanente list Anthony Domenigoni 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 Anthony Domenigoni was last updated on February 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.