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

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: October 18, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Dominic Ansari reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Weill Medical College Of Cornell University
2,578 mi
Internal Medicine
40 WORTH ST
New York, NY 10013
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Weill Medical College Of Cornell
  • 980 clinicians in this Medicare group
NPI 1801188313 (212) 590-5741

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 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.

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.

HELMUTH F VOLLGER
Radiology (Diagnostic Radiology)
800 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Del Norte County (707) 464-8511
SARAH MEREDITH OTR/L
Occupational Therapist
800 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Del Norte County (707) 464-8511
ALLEGRA MORTON DPT
Physical Therapist
800 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Del Norte County (707) 464-8511
CRESCENT CITY NURSE ANESTHETIST
Nurse Anesthetist, Certified Registered
800 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Del Norte County (503) 650-4359
FREDERICK J. HERING
Physician Assistant
800 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Del Norte County (469) 247-1977
SCOTT R. JOHNSON C.R.N.A.
Nurse Anesthetist, Certified Registered
800 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Del Norte County (503) 650-4359
BATTERY POINT MEDICAL SERVICES, A MEDICAL CORPORATION
Emergency Medicine
800 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Del Norte County (469) 401-2386
CALIFORNIA EM-I MEDICAL SERVICES, A MEDICAL CORPORATION
Emergency Medicine
800 E WASHINGTON BLVD
CRESCENT CITY, CA 95531
Del Norte County (469) 401-2386

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 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.

Where is Dominic Ansari located?

Dominic Ansari practices at 800 E Washington Blvd, Crescent City, CA 95531. The listed phone number is (707) 464-8511.

What is Dominic Ansari's specialty?

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

Is Dominic Ansari enrolled in Medicare?

Yes. Dominic Ansari is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Dominic Ansari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Ansari reassigns Medicare benefits to Weill Medical College Of Cornell University (New York, NY). 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 Dominic Ansari'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 Dominic Ansari was last updated on May 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.