GLORIA EDEN G DOMINGO MD LLC
NPI 1194409284
Clinic/Center - Primary Care in Waipahu, HI
About Gloria Eden G Domingo Md Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GLORIA EDEN G DOMINGO MD LLC (NPI 1194409284) is a healthcare organization registered as a primary care in Waipahu, Hawaii and active in the NPI registry since June 2023. The organization lists Gloria Eden G Domingo, Md, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gloria Eden G Domingo Md Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Gloria Eden G Domingo MD LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Gloria Eden G Domingo MD LLC's NPI number?
The NPI number for Gloria Eden G Domingo MD LLC is 1194409284. It was assigned to this organization in the NPPES registry on June 9, 2023.
Where is Gloria Eden G Domingo MD LLC located?
Gloria Eden G Domingo MD LLC is located at 94-333 Waipahu Depot St # M6, Waipahu, HI 96797. The listed phone number is (808) 677-5664.
What is Gloria Eden G Domingo MD LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Gloria Eden G Domingo MD LLC enrolled in Medicare?
Yes. Gloria Eden G Domingo MD LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Gloria Eden G Domingo MD LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Gloria Eden G Domingo MD LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Gloria Eden G Domingo MD LLC was last updated on June 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Gloria Eden G Domingo Md Llc · NPI 1194409284
Primary Care organization in Waipahu, Hawaii. Organization record, active in the CMS NPPES registry since June 9, 2023.
## Identity
- **NPI:** 1194409284 (Entity type: Organization)
- **Enumerated:** June 9, 2023
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Gloria Eden Domingo, MD
## Practice location
- **Address:** 94-333 WAIPAHU DEPOT ST # M6, Waipahu, HI 96797-3012
- **Phone:** (808) 677-5664 · **Fax:** (808) 784-0147
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 9, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1194409284) · Data from the CMS NPPES public registry.