Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. DOMINIC PHILIP CORSELLO MD
NPI 1194302133
Physical Medicine & Rehabilitation - Pain Medicine in Austin, TX

Q: What is Dominic Corsello's NPI number?

The NPI number for Dominic Corsello is 1194302133. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Q: What is Dominic Corsello's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Q: When was this NPI record last updated?

The NPPES record for Dominic Corsello was last updated on September 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.

Active since March 25, 2021PECOS Enrolled

3418 N LAMAR BLVD STE 100, AUSTIN, TX 78705(512) 244-4272(512) 244-2895 Get Directions Write a Review

NPPES record last updated: September 15, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 15, 2026, Mar 25, 2021 (2 updates tracked since 2021).

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About Dr. Dominic Philip Corsello Md NPPES

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

DR. DOMINIC PHILIP CORSELLO MD (NPI 1194302133) is an individual pain medicine provider in Austin, Texas, licensed in Texas (W9109) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Round Rock.

NPPES Registry Identity

NPI1194302133

Entity TypeIndividualMale

Primary Taxonomy2081P2900X

Provider Legal NameDR. DOMINIC PHILIP CORSELLOCredential: MD

Location Address3418 N LAMAR BLVD STE 100Austin, TX 78705-1176

Mailing Address101 W Louis Henna Blvd Ste 300Austin, TX 78728-1203 · (512) 593-4444 · Fax (512) 593-4444

Phone(512) 244-4272

Fax(512) 244-2895

Sole ProprietorNo

Enumeration DateMarch 25, 2021

Last NPPES UpdateSeptember 15, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 15, 2026

✔ NPI 1194302133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081P2900X

License✔ Licensed in TX · W9109

Definition

A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.

3418 N LAMAR BLVD STE 100, Austin, TX 78705

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Secondary Practice Location 1

Location 12000 S Mays St Ste 201Round Rock, TX 78664-7580 · Phone (512) 244-4272 · Fax (512) 244-2895

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dominic Philip Corsello Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 7

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

LESLIE L. CAMPBELL ESCALANTE PA

Physician Assistant (Medical)