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GLORIA EDEN GUERRERO DOMINGO MD
NPI 1205130655
Family Medicine in Waipahu, HI

Active since December 28, 2010PECOS EnrolledAccepts Medicare Assignment
94-239 WAIPAHU DEPOT ST STE 110, WAIPAHU, HI 96797(808) 677-5664(808) 677-1010 Get Directions Write a Review

NPPES record last updated: October 31, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gloria Eden Guerrero Domingo Md NPPES

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

GLORIA EDEN GUERRERO DOMINGO MD (NPI 1205130655) is an individual family medicine provider in Waipahu, Hawaii, licensed in Hawaii (13656) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1205130655
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGLORIA EDEN GUERRERO DOMINGOCredential: MD
Location Address94-239 WAIPAHU DEPOT ST STE 110Waipahu, HI 96797-3056
Mailing Address94-239 Waipahu Depot St Ste 110Waipahu, HI 96797-3056 · (808) 677-5664 · Fax (808) 677-1010
Phone(808) 677-5664
Fax(808) 677-1010
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateDecember 28, 2010
Last NPPES UpdateOctober 31, 2017
✔ NPI 1205130655 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in HI · 13656
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

94-239 WAIPAHU DEPOT ST STE 110, Waipahu, HI 96797
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Other Identifiers 1

Medicare UPING91556NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Gloria Eden Guerrero Domingo 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.

PECOS PAC ID8123276722
PECOS Enrollment IDI20120924000049
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.

Hospital Affiliations CMS Care Compare 2

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Pali Momi Medical Center

Acute Care Hospitals · Aiea, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120026
Location98-1079 Moanalua RoadAiea, HI 96701 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96797 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
$92.50 typical visit price
range $60.53 – $180.05
Typical copayment $23.12 (range $15.13 – $45.01)
Most-billed visit code 99203
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

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 Domingo's NPI number?

The NPI number for Gloria Eden Domingo is 1205130655. It was assigned to this individual provider in the NPPES registry on December 28, 2010.

Where is Gloria Eden Domingo located?

Gloria Eden Domingo practices at 94-239 Waipahu Depot St Ste 110, Waipahu, HI 96797. The listed phone number is (808) 677-5664.

What is Gloria Eden Domingo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gloria Eden Domingo enrolled in Medicare?

Yes. Gloria Eden Domingo 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.

Is Gloria Eden Domingo affiliated with any hospitals?

According to CMS data, Gloria Eden Domingo is affiliated with The Queens Medical Center and Pali Momi Medical Center.

When was this NPI record last updated?

The NPPES record for Gloria Eden Domingo was last updated on October 31, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.