DR. E.L. DOMINGO-JOHNSON MD
NPI 1215516752
General Practice in Chesterfield, MO

NPI Status: Active since April 02, 2021

Contact Information

100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO
ZIP 63005
Phone: (954) 399-4673

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  • Individual
  • Male
  • Years of Experience 5
  • General Practice
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About E.L. DOMINGO-JOHNSON

This page provides the complete NPI Profile along with additional information for E.l. Domingo-johnson, a primary care provider established in Chesterfield, Missouri with a medical specialization in General Practice and more than 5 years of experience. He graduated from Texas Tech University Health Science Center School Of Medicine in 2021. The healthcare provider is registered in the NPI registry with number 1215516752 assigned on April 2021. The practitioner's primary taxonomy code is 208D00000X with license number 2024043640 (MO). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1215516752
Provider Name
DR. E.L. DOMINGO-JOHNSON MD
Gender
Male
Entity Type
Individual
Location Address
100 CHESTERFIELD BUSINESS PKWY FL 2 CHESTERFIELD, MO 63005
Location Phone
(954) 399-4673
Mailing Address
3601 SW 160TH AVE STE 250 MIRAMAR, FL 33027
Mailing Phone
(954) 399-4673
Medical School Name
TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
Graduation Year
2021
Is Sole Proprietor?
No
Enumeration Date
04-02-2021
Last Update Date
12-26-2024
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A primary care provider (PCP) like E.l. Domingo-johnson sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

General Practice

Taxonomy Code
208D00000X
Type
Allopathic & Osteopathic Physicians
License No.
2024043640
License State
MO
Taxonomy Description
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Medicare Participation & PECOS Enrollment Status

E.l. Domingo-johnson is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

E.l. Domingo-johnson is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1254732837

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20241210002752

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Reviews for DR. E.L. DOMINGO-JOHNSON MD

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1215516752, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
1
Doubled → 2
Pos 4
5
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
1
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
7
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 5 → 10 → 1 6 → 12 → 3 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 2 + 5 + 1 + 0 + 1 + 1 + 2 + 7 + 1 + 0 + 24 = 48

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 48 is 50. The difference is the calculated check digit.

50 - 48 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1215516752.

Other Providers at the Same Location


The following 13 providers are registered at the same or a nearby location.

In Home Supportive Care
100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO 63005
Counselor (Professional)
100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO 63005
Home Health
100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO 63005
Social Worker
100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO 63005
Family Medicine
100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO 63005
Nurse Practitioner (Family)
100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO 63005
General Practice
100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO 63005
In Home Supportive Care
100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO 63005
Emergency Medicine
100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO 63005
Behavior Analyst
100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO 63005
In Home Supportive Care
100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO 63005
Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine)
100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO 63005
Family Medicine
100 CHESTERFIELD BUSINESS PKWY FL 2
CHESTERFIELD, MO 63005

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215516752, enumerated as an "individual" on April 02, 2021.

The provider is located at 100 CHESTERFIELD BUSINESS PKWY FL 2 CHESTERFIELD, MO 63005 and the phone number is (954) 399-4673.

General Practice with taxonomy code 208D00000X.