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FANGYUAN JIN-DOMINGUEZ
NPI 1295232296
Internal Medicine - Gastroenterology in Richmond, VA

Active since April 07, 2018PECOS Enrolled
1201 BROAD ROCK BLVD, RICHMOND, VA 23249(804) 675-5000 Get Directions Write a Review

NPPES record last updated: April 22, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fangyuan Jin-dominguez NPPES

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

FANGYUAN JIN-DOMINGUEZ (NPI 1295232296) is an individual gastroenterology provider in Richmond, Virginia, licensed in Virginia (0101287821) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295232296
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameFANGYUAN JIN-DOMINGUEZ
Location Address1201 BROAD ROCK BLVDRichmond, VA 23249-0001
Mailing Address1201 Broad Rock BlvdRichmond, VA 23249-0001 · (804) 675-5000
Phone(804) 675-5000
Sole ProprietorYes
Enumeration DateApril 7, 2018
Last NPPES UpdateApril 22, 2026
NPPES CertifiedApril 22, 2026
✔ NPI 1295232296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in VA · 0101287821
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 35.144467 (OH)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1201 BROAD ROCK BLVD, Richmond, VA 23249
Open in Google Maps ↗

Other Names 1

Former Name (1)Fangyuan Jin Md

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fangyuan Jin-dominguez 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 23249 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

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.

MISS MYLADY TIRADO P.T.A
Physical Therapy Assistant
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-6588
DR. KATHERINE LEIVY PSYD
Psychologist (Clinical)
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000
MR. MICHAEL N MARTIN FNP-BC
Nurse Practitioner (Primary Care)
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000
DR. PAUL WEISZ-CARRINGTON MD
Pathology (Anatomic Pathology & Clinical Pathology)
1201 BROAD ROCK BLVD, 113
RICHMOND, VA 23249
Richmond City (804) 794-9396
MRS. KIMBERLY JO POWELL OTR/L
Occupational Therapist
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000
MRS. PEGGY CHARLENE CARL
Pharmacist
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000
MISS STEPHANIE JEANNE SHERMAN REGISTERED DIETITIAN
Dietitian, Registered
1201 BROAD ROCK BLVD, VA MEDICAL CENTER
RICHMOND, VA 23249
Richmond City (804) 675-5000
DR. LAUREL HACKETT PT
Physical Therapist
1201 BROAD ROCK BLVD
RICHMOND, VA 23249
Richmond City (804) 675-5000

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 Fangyuan Jin-dominguez's NPI number?

The NPI number for Fangyuan Jin-dominguez is 1295232296. It was assigned to this individual provider in the NPPES registry on April 7, 2018. The provider is also known as Fangyuan Jin MD.

Where is Fangyuan Jin-dominguez located?

Fangyuan Jin-dominguez practices at 1201 Broad Rock Blvd, Richmond, VA 23249. The listed phone number is (804) 675-5000.

What is Fangyuan Jin-dominguez's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Fangyuan Jin-dominguez enrolled in Medicare?

Yes. Fangyuan Jin-dominguez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fangyuan Jin-dominguez was last updated on April 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.