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GABRIEL JOSE DOMINGUEZ-PANTOJA
NPI 1154784304
Emergency Medicine in Altamonte Springs, FL

Active since April 04, 2016PECOS EnrolledAccepts Medicare Assignment
601 E ALTAMONTE DR, ALTAMONTE SPRINGS, FL 32701(407) 303-2200 Get Directions Write a Review

NPPES record last updated: June 14, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 14, 2019, May 14, 2019, Feb 2, 2019 (3 updates tracked since 2019).

About Gabriel Jose Dominguez-pantoja NPPES

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

GABRIEL JOSE DOMINGUEZ-PANTOJA (NPI 1154784304) is an individual emergency medicine provider in Altamonte Springs, Florida, licensed in Florida (ME139214) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and maintains a secondary practice location in Little Rock.

NPPES Registry Identity

NPI1154784304
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameGABRIEL JOSE DOMINGUEZ-PANTOJA
Location Address601 E ALTAMONTE DRAltamonte Springs, FL 32701-4802
Mailing Address111 S Mckinley St Apt 4311Little Rock, AR 72205-2069 · (989) 429-3177
Phone(407) 303-2200
Sole ProprietorYes
Medical School CMSBaltimore Medical CollegeGraduated 2016
Enumeration DateApril 4, 2016
Last NPPES UpdateJune 14, 20193 updates tracked since enumeration
✔ NPI 1154784304 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in FL · ME139214✔ Licensed in AR · E-11820
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
601 E ALTAMONTE DR, Altamonte Springs, FL 32701
Open in Google Maps ↗

Secondary Practice Location 1

Location 14301 west markham, slot 584little rock, AR 72205-7199 · Phone (501) 686-5356

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

Gabriel Jose Dominguez-pantoja 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 ID6204169352
PECOS Enrollment IDI20190826000955
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 Gabriel Dominguez-pantoja reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Florida Emergency Physicians Kang And Associates MD LLC
6.3 mi
Emergency Medical Services
601 E ROLLINS ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 619 clinicians in this Medicare group
NPI 1811983752 (407) 303-5600

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32701 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
Most-billed visit code 99214
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.

NORMA RAMIREZ
Advanced Practice Midwife
601 E ALTAMONTE DR
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 975-0406
MORGAN CYRUS APRN
Nurse Practitioner (Family)
601 E ALTAMONTE DR
ALTAMONTE SPG, FL 32701
Seminole County (407) 303-3000
DR. KREANGKAI TYREE M.D.
Pediatrics (Neonatal-Perinatal Medicine)
601 E ALTAMONTE DR
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 303-2528
COGENT HEALTHCARE OF PENSACOLA LLC
Internal Medicine
601 E ALTAMONTE DR
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 303-2200
MRS. KATIE MARTIN SALZMAN CNM
Advanced Practice Midwife
601 E ALTAMONTE DR
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 975-0406
CHARLENE ALEMAN LCSW
Social Worker (Clinical)
601 E ALTAMONTE DR
ALTAMONTE SPRINGS, FL 32701
Seminole County (321) 291-2384
MEGAN OPFERMAN
Internal Medicine (Critical Care Medicine)
601 E ALTAMONTE DR
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 303-7283
TONYA THOMPSON CSFA
Specialist/Technologist, Other (Surgical Technologist)
601 E ALTAMONTE DR
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 303-2261

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 Gabriel Dominguez-pantoja's NPI number?

The NPI number for Gabriel Dominguez-pantoja is 1154784304. It was assigned to this individual provider in the NPPES registry on April 4, 2016.

Where is Gabriel Dominguez-pantoja located?

Gabriel Dominguez-pantoja practices at 601 E Altamonte Dr, Altamonte Springs, FL 32701. The listed phone number is (407) 303-2200.

What is Gabriel Dominguez-pantoja's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Gabriel Dominguez-pantoja enrolled in Medicare?

Yes. Gabriel Dominguez-pantoja 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 Gabriel Dominguez-pantoja's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gabriel Dominguez-pantoja reassigns Medicare benefits to Florida Emergency Physicians Kang And Associates MD LLC (Orlando, 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 Gabriel Dominguez-pantoja's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Gabriel Dominguez-pantoja affiliated with any hospitals?

According to CMS data, Gabriel Dominguez-pantoja is affiliated with Adventhealth Orlando.

When was this NPI record last updated?

The NPPES record for Gabriel Dominguez-pantoja was last updated on June 14, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.