ANIBAL DOMINGUEZ MD
NPI 1184156440
Internal Medicine in Shreveport, LA
About Anibal Dominguez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANIBAL DOMINGUEZ MD (NPI 1184156440) is an individual internal medicine provider in Shreveport, Louisiana, licensed in Virginia (0101275582) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Bon Secours St Marys Hospital, and is a graduate of Louisiana State University School Of Medicine In Shreveport (2022).
NPPES Registry Identity
Specialties & Licenses 2
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
Anibal Dominguez Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Anibal Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Richmond, VA 23226
- Reassigned Medicare billing, Virginia enrollment
- 134 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Bon Secours St Marys Hospital
Acute Care Hospitals · Richmond, VABon Secours Memorial Regional Medical Center
Acute Care Hospitals · Mechanicsville, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 71103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
SHREVEPORT, LA 71103
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 Anibal Dominguez's NPI number?
The NPI number for Anibal Dominguez is 1184156440. It was assigned to this individual provider in the NPPES registry on March 28, 2017.
Where is Anibal Dominguez located?
Anibal Dominguez practices at 1501 Kings Hwy Internal Medicine, Shreveport, LA 71103. The listed phone number is (318) 626-0434.
What is Anibal Dominguez's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Anibal Dominguez enrolled in Medicare?
Yes. Anibal 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 Anibal Dominguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Anibal Dominguez reassigns Medicare benefits to Sound Physicians Intensivists Of Virginia LLC (Richmond, VA). 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 Anibal Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Anibal Dominguez affiliated with any hospitals?
According to CMS data, Anibal Dominguez is affiliated with Bon Secours St Marys Hospital and Bon Secours Memorial Regional Medical Center.
When was this NPI record last updated?
The NPPES record for Anibal Dominguez was last updated on August 12, 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.
# Anibal Dominguez, MD · NPI 1184156440
Internal Medicine physician in Shreveport, Louisiana. Individual provider, active in the CMS NPPES registry since March 28, 2017.
## Identity
- **NPI:** 1184156440 (Entity type: Individual)
- **Enumerated:** March 28, 2017
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101275582 (Virginia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 1501 KINGS HWY, INTERNAL MEDICINE, Shreveport, LA 71103-4228
- **Phone:** (318) 626-0434
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Sound Physicians Intensivists Of Virginia LLC (NPI 1619520806, Richmond, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Louisiana State University School Of Medicine In Shreveport, class of 2022
## Record status
- **NPPES last updated:** August 12, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1184156440) · Data from the CMS NPPES public registry.