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ELIDES DOMINGUEZ CACII
NPI 1124475835
General Practice in Wesley Chapel, FL

Active since May 23, 2016PECOS EnrolledAccepts Medicare Assignment
2607 WINDGUARD CIR STE 102, WESLEY CHAPEL, FL 33544(813) 907-6767(813) 907-1911 Get Directions Write a Review

NPPES record last updated: August 11, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 11, 2022, Oct 9, 2019, Feb 20, 2019 (3 updates tracked since 2019).

About Elides Dominguez Cacii NPPES

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

ELIDES DOMINGUEZ CACII (NPI 1124475835) is an individual general practice provider in Wesley Chapel, Florida, licensed in Florida (ACN1111) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1983).

NPPES Registry Identity

NPI1124475835
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameELIDES DOMINGUEZCredential: CACII
Location Address2607 WINDGUARD CIR STE 102Wesley Chapel, FL 33544-7352
Mailing Address5626 Curry Ford RdOrlando, FL 32822-1424 · (407) 985-5677 · Fax (844) 388-6186
Phone(813) 907-6767
Fax(813) 907-1911
Sole ProprietorNo
Medical School CMSOtherGraduated 1983
Enumeration DateMay 23, 2016
Last NPPES UpdateAugust 11, 20223 updates tracked since enumeration
NPPES CertifiedAugust 11, 2022
✔ NPI 1124475835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in FL · ACN1111
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
2607 WINDGUARD CIR STE 102, Wesley Chapel, FL 33544
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

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

Elides Dominguez Cacii 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 ID4880934785
PECOS Enrollment IDI20190312002293
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 Reassignment

Medicare enrollment records show Elides Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pcc Medical Holdings LLC
177 mi
Internal Medicine
5055 SOUTH CONGRESS AVENUE, SUITE 303
Lake Worth, FL 33461
  • Reassigned Medicare billing, Florida enrollment
  • 47 clinicians in this Medicare group
NPI 1174167993 (561) 385-0731

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.

BEST VALUE HEALTHCARE LLC
Internal Medicine
2607 WINDGUARD CIR STE 102
WESLEY CHAPEL, FL 33544
Pasco County (813) 907-6767

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 Elides Dominguez's NPI number?

The NPI number for Elides Dominguez is 1124475835. It was assigned to this individual provider in the NPPES registry on May 23, 2016.

Where is Elides Dominguez located?

Elides Dominguez practices at 2607 Windguard Cir Ste 102, Wesley Chapel, FL 33544. The listed phone number is (813) 907-6767.

What is Elides Dominguez's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Elides Dominguez enrolled in Medicare?

Yes. Elides Dominguez 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 organization bills Medicare for Elides Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elides Dominguez reassigns Medicare benefits to Pcc Medical Holdings LLC (Lake Worth, FL). The 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 Elides Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Elides Dominguez accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida list Elides Dominguez 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 Elides Dominguez was last updated on August 11, 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.