DENISE ALEJANDRA LOPEZ DOMOWICZ M.D.
NPI 1326308966
Pediatrics - Pediatric Critical Care Medicine in Columbia, MO

Q: What is Denise Lopez Domowicz's NPI number?

The NPI number for Denise Lopez Domowicz is 1326308966. It was assigned to this individual provider in the NPPES registry on May 16, 2012.

Q: What is Denise Lopez Domowicz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Active since May 16, 2012PECOS Enrolled

1021 HITT ST, COLUMBIA, MO 65212(573) 882-2272(573) 884-5179 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 15, 2024, Oct 25, 2023, Aug 1, 2022 and 2 more (5 updates tracked since 2016).

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About Denise Alejandra Lopez Domowicz M.d. NPPES

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

DENISE ALEJANDRA LOPEZ DOMOWICZ M.D. (NPI 1326308966) is an individual pediatric critical care medicine provider in Columbia, Missouri, licensed in Missouri (2023042940) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326308966

Entity TypeIndividualFemale

Primary Taxonomy2080P0203X

Provider Legal NameDENISE ALEJANDRA LOPEZ DOMOWICZCredential: M.D.

Location Address1021 HITT STColumbia, MO 65212-0001

Mailing AddressPo Box 843966Kansas City, MO 64184-3966 · (573) 884-3300 · Fax (573) 884-0943

Phone(573) 882-2272

Fax(573) 884-5179

Sole ProprietorNo

Enumeration DateMay 16, 2012

Last NPPES UpdateMay 15, 20245 updates tracked since enumeration

NPPES CertifiedMay 15, 2024

✔ NPI 1326308966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080P0203X

Licenses✔ Licensed in MO · 2023042940✔ Licensed in FL · ME157614✔ Licensed in OH · 35.125972

Definition

A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.

Also ListedPediatricsTaxonomy 208000000X · License 35.125972 (OH)

1021 HITT ST, Columbia, MO 65212

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Other Identifiers 1

Medicaid0130903OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, Medica.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Denise Alejandra Lopez Domowicz M.d. 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.

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.

DANIELA CRISTINA BICHIANU M.D.

Pediatrics (Neonatal-Perinatal Medicine)