DOMINIQUE DILORENZO MD
NPI 1275910481
Family Medicine in Winter Park, FL

Active since April 27, 2015PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
1400 S ORLANDO AVE STE 210, WINTER PARK, FL 32789(407) 409-8807(407) 557-4885 Get Directions Write a Review

NPPES record last updated: June 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 13, 2024, Dec 11, 2019, Oct 8, 2018 and 1 more (4 updates tracked since 2018).

About Dominique Dilorenzo Md NPPES

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

DOMINIQUE DILORENZO MD (NPI 1275910481) is an individual family medicine provider in Winter Park, Florida, licensed in Florida (ME134088) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1275910481
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDOMINIQUE DILORENZOCredential: MD
Location Address1400 S ORLANDO AVE STE 210Winter Park, FL 32789-5543
Mailing Address1400 S Orlando Ave Ste 210Winter Park, FL 32789-5543 · (407) 409-8807 · Fax (407) 557-4885
Fax(407) 557-4885
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 27, 2015
Last NPPES UpdateJune 13, 20244 updates tracked since enumeration
NPPES CertifiedJune 13, 2024
NPI 1275910481 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in FL · ME134088
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.
Also ListedObstetrics & Gynecology · ObstetricsTaxonomy 207VX0000X · License ME134088 (FL)
1400 S ORLANDO AVE STE 210, Winter Park, FL 32789

Other Names 1

Former Name (1)Dominique Ghannam

Accepted Insurance

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

Dominique Dilorenzo 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 ID1355630591
PECOS Enrollment IDI20191115001159
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 32789 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

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.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Women's Health)
1400 S ORLANDO AVE STE 210
WINTER PARK, FL 32789
Clinic/Center (Primary Care)
1400 S ORLANDO AVE STE 210
WINTER PARK, FL 32789

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 Dominique Dilorenzo's NPI number?

The NPI number for Dominique Dilorenzo is 1275910481. It was assigned to this individual provider in the NPPES registry on April 27, 2015. The provider is also known as Dominique Ghannam.

Where is Dominique Dilorenzo located?

Dominique Dilorenzo practices at 1400 S Orlando Ave Ste 210, Winter Park, FL 32789. The listed phone number is (407) 409-8807.

What is Dominique Dilorenzo's specialty?

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

Is Dominique Dilorenzo enrolled in Medicare?

Yes. Dominique Dilorenzo 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.

What insurance does Dominique Dilorenzo accept?

Health plans from AvMed, Molina Healthcare and Wellpoint list Dominique Dilorenzo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Dominique Dilorenzo was last updated on June 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.