DR. DOMINIC OMAR ANSARI M.D., PH.D.
NPI 1366737942
Pediatrics in Crescent City, CA

Q: What is Dominic Ansari's NPI number?

The NPI number for Dominic Ansari is 1366737942. It was assigned to this individual provider in the NPPES registry on June 13, 2011.

Q: What is Dominic Ansari's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Dominic Ansari was last updated on May 29, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since June 13, 2011PECOS Enrolled

800 E WASHINGTON BLVD, CRESCENT CITY, CA 95531(707) 464-8511 Get Directions Write a Review

NPPES record last updated: May 29, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 29, 2019, Oct 14, 2016 (2 updates tracked since 2016).

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About Dr. Dominic Omar Ansari M.d., Ph.d. NPPES

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

DR. DOMINIC OMAR ANSARI M.D., PH.D. (NPI 1366737942) is an individual pediatrics provider in Crescent City, California, licensed in New York (285015) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS and maintains a secondary practice location in Williamsville.

NPPES Registry Identity

NPI1366737942

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. DOMINIC OMAR ANSARICredential: M.D., PH.D.

Location Address800 E WASHINGTON BLVDCrescent City, CA 95531-8359

Mailing Address300 Lenora St # 101Seattle, WA 98121-2411 · (512) 766-7512

Phone(707) 464-8511

Sole ProprietorNo

Enumeration DateJune 13, 2011

Last NPPES UpdateMay 29, 20192 updates tracked since enumeration

✔ NPI 1366737942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NY · 285015

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

800 E WASHINGTON BLVD, Crescent City, CA 95531

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Secondary Practice Location 1

Location 11800 Maple Rd Ste 100Williamsville, NY 14221-2749 · Phone (716) 636-5437

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dominic Omar Ansari M.d., Ph.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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95531 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$103.36 typical visit price

range $19.28 – $144.60

Typical copayment $25.84 (range $4.82 – $36.15)

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.

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