CARMEN LETICIA DOMINGUEZ M.D.
NPI 1396775334
Anesthesiology - Pain Medicine in Sumter, SC

Q: What is Carmen Dominguez's NPI number?

The NPI number for Carmen Dominguez is 1396775334. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Q: What is Carmen Dominguez's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Q: When was this NPI record last updated?

The NPPES record for Carmen Dominguez was last updated on August 3, 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.

Active since July 04, 2006PECOS Enrolled

325 BROAD ST STE 200, SUMTER, SC 29150(803) 773-5227(803) 418-0202 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Carmen Leticia Dominguez M.d. NPPES

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

CARMEN LETICIA DOMINGUEZ M.D. (NPI 1396775334) is an individual pain medicine provider in Sumter, South Carolina, licensed in South Carolina (95305) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Daytona Beach, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1396775334

Entity TypeIndividualFemale

Primary Taxonomy207LP2900X

Provider Legal NameCARMEN LETICIA DOMINGUEZCredential: M.D.

Location Address325 BROAD ST STE 200Sumter, SC 29150-4167

Mailing AddressP.o. Box 9671Daytona Beach, FL 32120-9671 · (386) 676-7130 · Fax (386) 676-7125

Phone(803) 773-5227

Fax(803) 418-0202

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJuly 4, 2006

Last NPPES UpdateAugust 3, 2026

NPPES CertifiedAugust 3, 2026

✔ NPI 1396775334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiology · Pain MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207LP2900X

Licenses✔ Licensed in SC · 95305✔ Licensed in NJ · 25MA07822000

Definition

An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

325 BROAD ST STE 200, Sumter, SC 29150

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Secondary Practice Location 1

Location 1320 North Clyde Morris BlvdDaytona Beach, FL 32114-2733 · Phone (386) 238-3226 · Fax (386) 238-3260

Other Identifiers 5

Medicaid278835700FL

Medicaid953052SC

Other01076FL · Bcbs

Other1396775334FL · Tricare

OtherP01061992FL · Railroad

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of South Carolina, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen Leticia Dominguez M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971543919

PECOS Enrollment IDI20250919003363

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 Reassignments

Medicare enrollment records show Carmen Dominguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Colonial Family Practice, LLC

Same address

Family Medicine

325 BROAD ST. STE 100
Sumter, SC 29150

Reassigned Medicare billing, South Carolina enrollment
82 clinicians in this Medicare group

NPI 1518074640 (803) 773-5227

Florida Health Care Plan, Inc

329 mi

Preferred Provider Organization

2450 MASON AVE
Daytona Beach, FL 32114

Reassigned Medicare billing, Florida enrollment
132 clinicians in this Medicare group

NPI 1558302042 (386) 615-4021

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

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLONIAL FAMILY PRACTICE, LLC

Family Medicine

325 BROAD ST STE 200
SUMTER, SC 29150

Sumter County (803) 773-5227

COLONIAL FAMILY PRACTICE, LLC

Family Medicine (Sports Medicine)

325 BROAD ST STE 200
SUMTER, SC 29150

Sumter County (803) 773-5227

MRS. MARY KATHLEEN COX FNP-C

Nurse Practitioner (Family)

325 BROAD ST STE 200
SUMTER, SC 29150

Sumter County (803) 773-5227

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's NPI number?

The NPI number for Carmen Dominguez is 1396775334. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Carmen Dominguez located?

Carmen Dominguez practices at 325 Broad St Ste 200, Sumter, SC 29150. The listed phone number is (803) 773-5227.

What is Carmen Dominguez's specialty?

The primary specialty registered for this NPI is Anesthesiology, specializing in Pain Medicine, with taxonomy code 207LP2900X.

Is Carmen Dominguez enrolled in Medicare?

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

Which organizations bill Medicare for Carmen Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Dominguez reassigns Medicare benefits to 2 organizations: Colonial Family Practice, LLC (Sumter, SC) and Florida Health Care Plan, Inc (Daytona Beach, FL). Each 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's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Dominguez accept?

Health plans from BlueCross BlueShield of South Carolina and Molina Healthcare list Carmen Dominguez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carmen Dominguez was last updated on August 3, 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.