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DR. TROY E DOMINGUEZ M.D
NPI 1407867096
Pediatrics - Pediatric Critical Care Medicine in New Haven, CT

Active since August 10, 2006PECOS Enrolled
15 YORK ST, NEW HAVEN, CT 06510(203) 785-4651 Get Directions Write a Review

NPPES record last updated: January 24, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2019, Jan 3, 2019 (2 updates tracked since 2019).

About Dr. Troy E Dominguez M.d NPPES

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

DR. TROY E DOMINGUEZ M.D (NPI 1407867096) is an individual pediatric critical care medicine provider in New Haven, Connecticut, licensed in Connecticut (62058) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1407867096
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameDR. TROY E DOMINGUEZCredential: M.D
Location Address15 YORK STNew Haven, CT 06510-3221
Mailing Address100 N 20th Street, Suite 200Philadelphia, PA 19103 · (215) 977-8100 · Fax (215) 977-8351
Phone(203) 785-4651
Sole ProprietorNo
Enumeration DateAugust 10, 2006
Last NPPES UpdateJanuary 24, 20192 updates tracked since enumeration
✔ NPI 1407867096 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License✔ Licensed in CT · 62058
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
15 YORK ST, New Haven, CT 06510
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Secondary Practice Location 1

Location 134th Street & Civic Center Blvd, Suite 9329Philadelphia, PA 19104 · Phone (215) 590-1858 · Fax (215) 977-8351

Other Identifiers 1

Medicaid0017511920PA

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. Troy E Dominguez 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.

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.

KARAM AL JUMAILY
Student in an Organized Health Care Education/Training Program
15 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4668
AARON VASSALL M.D.
Student in an Organized Health Care Education/Training Program
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5555
MS. PEGGY SUEJIN MYUNG M.D., PH.D.
Dermatology (Dermatopathology)
15 YORK ST, LMP 5031
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (215) 668-7559
ROBERT E TIGELAAR MD
Dermatology
15 YORK ST, DERMATOLOGY, LCI ROOM 609
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4632
REBECCA SLOTKIN M.D.
Internal Medicine
15 YORK ST, YNHH DEPT OF MEDICINE, LMP 1092
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 688-5555
MICHAEL GIRARDI MD
Dermatology
15 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4632
GERALD H FRIEDLAND MD
Internal Medicine (Infectious Disease)
15 YORK ST, NATHAN SMITH BUILDING
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-5303
KACIE R CARLSON PA-C
Physician Assistant
15 YORK ST
NEW HAVEN, CT 06510
South Central Connecticut Planning Region (203) 785-4632

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 Troy Dominguez's NPI number?

The NPI number for Troy Dominguez is 1407867096. It was assigned to this individual provider in the NPPES registry on August 10, 2006.

Where is Troy Dominguez located?

Troy Dominguez practices at 15 York St, New Haven, CT 06510. The listed phone number is (203) 785-4651.

What is Troy Dominguez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Troy Dominguez enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Troy Dominguez was last updated on January 24, 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.