DR. CARMEN M DOMINGUEZ-RAFER M.D.
NPI 1366544686
Family Medicine in New York, NY

Active since September 05, 2006PECOS Enrolled
610 W 158TH ST, NEW YORK, NY 10032(212) 544-1880(212) 544-1870 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Carmen M Dominguez-rafer M.d. NPPES

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

DR. CARMEN M DOMINGUEZ-RAFER M.D. (NPI 1366544686) is an individual family medicine provider in New York, New York, licensed in New York (198427) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1366544686
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARMEN M DOMINGUEZ-RAFERCredential: M.D.
Location Address610 W 158TH STNew York, NY 10032
Mailing Address610 W 158th StreetNew York, NY 10032 · (212) 544-1880 · Fax (212) 544-1870
Fax(212) 544-1870
Sole ProprietorYes
Enumeration DateSeptember 5, 2006
Last NPPES UpdateSeptember 13, 2012
✔ NPI 1366544686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 198427
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.
610 W 158TH ST, New York, NY 10032

Other Identifiers 3

Medicare UPINC07889NY
Medicaid01092608NY
Medicare ID-Type Unspecified29E131NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carmen M Dominguez-rafer 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.

Medicare Billing Reassignment

Medicare enrollment records show Carmen Dominguez-rafer reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
400 KELBY ST, 8TH FLOOR CLINICAL REVENUE OFFICE
Fort Lee, NJ 07024
  • Reassigned Medicare billing, New York enrollment
  • 1,048 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

Family Medicine
610 W 158TH ST
NEW YORK, NY 10032
General Practice
610 W 158TH ST
NEW YORK, NY 10032
Podiatrist
610 W 158TH ST
NEW YORK, NY 10032
Family Medicine
610 W 158TH ST
NEW YORK, NY 10032
Family Medicine
610 W 158TH ST
NEW YORK, NY 10032
Family Medicine
610 W 158TH ST
NEW YORK, NY 10032
Family Medicine
610 W 158TH ST
NEW YORK, NY 10032
Family Medicine
610 W 158TH ST
NEW YORK, NY 10032

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 Carmen Dominguez-rafer's NPI number?

The NPI number for Carmen Dominguez-rafer is 1366544686. It was assigned to this individual provider in the NPPES registry on September 5, 2006.

Where is Carmen Dominguez-rafer located?

Carmen Dominguez-rafer practices at 610 W 158th St, New York, NY 10032. The listed phone number is (212) 544-1880.

What is Carmen Dominguez-rafer's specialty?

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

Is Carmen Dominguez-rafer enrolled in Medicare?

Yes. Carmen Dominguez-rafer is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carmen Dominguez-rafer's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Dominguez-rafer reassigns Medicare benefits to Trustees Of Columbia University In The City Of New York (Fort Lee, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carmen Dominguez-rafer's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carmen Dominguez-rafer was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.