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

RODOLFO M DOMINGO MD
NPI 1205813003
Anesthesiology in West Islip, NY

Q: What is Rodolfo Domingo's NPI number?

The NPI number for Rodolfo Domingo is 1205813003. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Q: What is Rodolfo Domingo's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Q: When was this NPI record last updated?

The NPPES record for Rodolfo Domingo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 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 December 22, 2005PECOS EnrolledAccepts Medicare Assignment

1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTER, WEST ISLIP, NY 11795(631) 376-4088 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Rodolfo M Domingo Md NPPES

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

RODOLFO M DOMINGO MD (NPI 1205813003) is an individual anesthesiology provider in West Islip, New York, licensed in New York (1870381) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Medical Center, and is a graduate of New York Medical College (1989).

NPPES Registry Identity

NPI1205813003

Entity TypeIndividualMale

Primary Taxonomy207L00000X

Provider Legal NameRODOLFO M DOMINGOCredential: MD

Location Address1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTERWest Islip, NY 11795

Mailing Address3 Boyle RoadSelden, NY 11784 · (631) 736-3372 · Fax (631) 736-1332

Phone(631) 376-4088

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 1989

Enumeration DateDecember 22, 2005

Last NPPES UpdateJuly 13, 2026

✔ NPI 1205813003 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians

Taxonomy Code207L00000X

License✔ Licensed in NY · 1870381

Definition

An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

1000 MONTAUK HWY, West Islip, NY 11795

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Other Identifiers 1

Medicaid01577339NY

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

Rodolfo M 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 ID2466485990

PECOS Enrollment IDI20111011000005

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.

Areas of Expertise CMS Part B claims 4

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.

Anesthesia for x-ray or radiation therapy 01922

Anesthesia for x-ray or radiation therapy involves administering medication to help you relax or sleep during the procedure. It's used to ensure comfort, minimize movement, and reduce anxiety. The type of anesthesia used depends on the procedure and patient's health.

31 services31 patients

Anesthesia for other closed procedure on chest 00520

Anesthesia for a closed chest procedure involves the use of medications to block sensation, ensuring you don't feel pain during the procedure. It can be general (you're asleep) or regional (part of your body is numbed). This helps maintain comfort and safety.

16 services16 patients

Anesthesia for x-ray exam of arteries and veins using contrast 01916

Anesthesia is given to ensure comfort during an X-ray exam of your arteries and veins using contrast. This process involves injecting a dye into your blood vessels to make them visible on X-rays. The anesthesia helps to minimize any discomfort or anxiety.

13 services13 patients

Anesthesia for x-ray or radiation therapy 01922

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Good Samaritan Hospital Medical Center

Acute Care Hospitals · West Islip, NY

1/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number330286

Location1000 Montauk HighwayWest Islip, NY 11795 · Suffolk County

Emergency services Birthing friendly

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Post-Anesthetic Transfer of Care Measure: Procedure Room to a Post Anesthesia Care Unit (PACU)

Percentage of patients, regardless of age, who are under the care of an anesthesia practitioner and are admitted to a PACU or other non-ICU location in which a post-anesthetic formal transfer of care protocol or checklist which includes the key transfer of…

100%498 patients5/55-star benchmark: 100%

Prevention of Post-Operative Nausea and Vomiting (PONV) - Combination Therapy

Percentage of patients, aged 18 years and older, who undergo a procedure under an inhalational general anesthetic, AND who have three or more risk factors for post-operative nausea and vomiting (PONV), who receive combination therapy consisting of at least…

99%178 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. ANTHONY NGUYEN MD

Obstetrics & Gynecology

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-4163

LAUREN MARIE CHOBAN DO

Emergency Medicine

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-3000

MISS MUNMUN AZIZ MD

Student in an Organized Health Care Education/Training Program

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (929) 340-5665

TERENCE JAMES OMALLEY MD

Anesthesiology

1000 MONTAUK HWY, GOOD SAMARITAN HOSPITAL MEDICAL CENTER
WEST ISLIP, NY 11795

Suffolk County (631) 376-4088

PIOTR PAPUZINSKI MD

Internal Medicine

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-3000

LAURIE WATERS PA

Physician Assistant

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-3000

SHELLEY MATSON RN

Registered Nurse

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-3000

RIDDA MANZOOR MD

Student in an Organized Health Care Education/Training Program

1000 MONTAUK HWY
WEST ISLIP, NY 11795

Suffolk County (631) 376-4163

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 Rodolfo Domingo's NPI number?

The NPI number for Rodolfo Domingo is 1205813003. It was assigned to this individual provider in the NPPES registry on December 22, 2005.

Where is Rodolfo Domingo located?

Rodolfo Domingo practices at 1000 Montauk Hwy Good Samaritan Hospital Medical Center, West Islip, NY 11795. The listed phone number is (631) 376-4088.

What is Rodolfo Domingo's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Rodolfo Domingo enrolled in Medicare?

Yes. Rodolfo 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 Rodolfo Domingo affiliated with any hospitals?

According to CMS data, Rodolfo Domingo is affiliated with Good Samaritan Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Rodolfo Domingo was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 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.