JOHN DOMINI MD
NPI 1265124713
Student in an Organized Health Care Education/Training Program in Ann Arbor, MI

Active since May 23, 2023PECOS Enrolled
1500 E MEDICAL CENTER DR, UH B1 502, SPC 5030, ANN ARBOR, MI 48109(734) 615-4924 Get Directions Write a Review

NPPES record last updated: May 23, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About John Domini Md NPPES

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

JOHN DOMINI MD (NPI 1265124713) is an individual student in an organized health care education/training program provider in Ann Arbor, Michigan, licensed in Michigan (4351051132) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS.Information from the official NPPES registry record, last updated May 23, 2023.

NPPES Registry Identity

NPI1265124713
Entity TypeIndividualMale
Provider Legal NameJOHN DOMINICredential: MD
Location Address1500 E MEDICAL CENTER DR, UH B1 502, SPC 5030Ann Arbor, MI 48109-5030
Mailing Address1500 E Medical Center Dr, Uh B1 502, Spc 5030Ann Arbor, MI 48109-5030
Sole ProprietorNo
Enumeration DateMay 23, 2023
NPPES CertifiedMay 23, 2023
NPI 1265124713 is a valid, active identifier and passes the ISO check-digit test. How NPI validation works

Primary Specialty

Student in an Organized Health Care Education/Training Program

Taxonomy 390200000X · Student, Health Care

Licensed in MI · 4351051132

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1500 E MEDICAL CENTER DR, Ann Arbor, MI 48109

Medicare Participation & PECOS Enrollment Status

John Domini 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

  • 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 JOHN DOMINI MD

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Pharmacist (Pharmacotherapy)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pharmacist
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Pharmacist (Psychiatric)
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Psychiatry & Neurology (Psychiatry)
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48109
Nurse Practitioner
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
Nurse Practitioner
1500 E MEDICAL CENTER DR, 3RD TAUBMAN CENTER RECP A
ANN ARBOR, MI 48109
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
Radiology (Diagnostic Radiology)
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP C
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR, 1ST FLOOR TAUBMAN CENTER RECP E
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR, 1H247 UNIVERSITY HOSPITAL
ANN ARBOR, MI 48109
Nurse Practitioner
1500 E MEDICAL CENTER DR, 7TH FLOOR MOTT RM F7830
ANN ARBOR, MI 48109
Nurse Practitioner (Family)
1500 E MEDICAL CENTER DR, B1 FLOOR CANCER CTR RECP C
ANN ARBOR, MI 48109
Internal Medicine (Gastroenterology)
1500 E MEDICAL CENTER DR, 3RD FLOOR TAUBMAN CENTER RECP D
ANN ARBOR, MI 48109
Otolaryngology
1500 E MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP G
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109
Nurse Practitioner
1500 E MEDICAL CENTER DR, 2ND FLOOR TAUBMAN CTR RECP G
ANN ARBOR, MI 48109
Physician Assistant
1500 E MEDICAL CENTER DR, B1 FLOOR UNIVERSITY HOSPITAL RECP EMERGENCY
ANN ARBOR, MI 48109
Nurse Anesthetist, Certified Registered
1500 E MEDICAL CENTER DR
ANN ARBOR, MI 48109

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1265124713, enumerated as an "individual" on May 23, 2023.

The provider is located at 1500 E MEDICAL CENTER DR UH B1 502, SPC 5030 ANN ARBOR, MI 48109 and the phone number is (734) 615-4924.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.