Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: August 09, 2026.

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
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

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

Medicare Participation & PECOS CMS

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

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 IDI20070806000745, I20250919003363
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 3

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

Family Medicine
325 BROAD ST STE 200
SUMTER, SC 29150
Family Medicine (Sports Medicine)
325 BROAD ST STE 200
SUMTER, SC 29150
Nurse Practitioner (Family)
325 BROAD ST STE 200
SUMTER, SC 29150

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.

What insurance does Carmen Dominguez accept?

Health plans from 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 9 days 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.