DR. ALDO JOHN DOMENICHINI MD
NPI 1245224062
Family Medicine in Iron Mountain, MI

Q: What is Aldo Domenichini's NPI number?

The NPI number for Aldo Domenichini is 1245224062. It was assigned to this individual provider in the NPPES registry on September 8, 2005.

Q: What is Aldo Domenichini's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Aldo Domenichini was last updated on April 3, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 08, 2005PECOS Enrolled

325 E H ST, IRON MOUNTAIN, MI 49801(906) 774-3300 Get Directions Write a Review

NPPES record last updated: April 3, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 3, 2019, Mar 17, 2018 (2 updates tracked since 2018).

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About Dr. Aldo John Domenichini Md NPPES

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

DR. ALDO JOHN DOMENICHINI MD (NPI 1245224062) is an individual family medicine provider in Iron Mountain, Michigan, licensed in Florida (ME115790) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1245224062

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. ALDO JOHN DOMENICHINICredential: MD

Location Address325 E H STIron Mountain, MI 49801

Mailing Address325 E H StIron Mountain, MI 49801-4760 · (906) 774-3300

Phone(906) 774-3300

Sole ProprietorNo

Enumeration DateSeptember 8, 2005

Last NPPES UpdateApril 3, 20192 updates tracked since enumeration

✔ NPI 1245224062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME115790

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.

325 E H ST, Iron Mountain, MI 49801

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Secondary Practice Location 1

Location 13301 W Gandy BlvdTampa, FL 33611 · Phone (813) 925-1903 · Fax (813) 749-8370

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. Aldo John Domenichini 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49801 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

$84.74 typical visit price

range $54.34 – $166.68

Typical copayment $21.18 (range $13.58 – $41.67)

Most-billed visit code 99203

Established Patient

$96.44 typical visit price

range $17.09 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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.

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