CARLOS R. DOMINGUEZ MD
NPI 1447771019
Pathology - Anatomic Pathology & Clinical Pathology in Salt Lake City, UT

Q: What is Carlos Dominguez's NPI number?

The NPI number for Carlos Dominguez is 1447771019. It was assigned to this individual provider in the NPPES registry on July 4, 2017.

Q: What is Carlos Dominguez's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Dominguez was last updated on May 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since July 04, 2017PECOS EnrolledAccepts Medicare Assignment

15 N MEDICAL DR STE 1100, SALT LAKE CITY, UT 84112(801) 587-4563 Get Directions Write a Review

NPPES record last updated: May 31, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 31, 2021, Jul 4, 2017 (2 updates tracked since 2017).

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About Carlos R. Dominguez Md NPPES

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

CARLOS R. DOMINGUEZ MD (NPI 1447771019) is an individual anatomic pathology & clinical pathology provider in Salt Lake City, Utah, licensed in Utah (12248546-1205) and active in the NPI registry since July 2017. He is enrolled in Medicare PECOS, is affiliated with The Nebraska Medical Center, and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1447771019

Entity TypeIndividualMale

Primary Taxonomy207ZP0102X

Provider Legal NameCARLOS R. DOMINGUEZCredential: MD

Location Address15 N MEDICAL DR STE 1100Salt Lake City, UT 84112-1100

Mailing Address15 N Medical Dr Ste 1100Salt Lake City, UT 84112-1100 · (801) 587-4563

Phone(801) 587-4563

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 4, 2017

Last NPPES UpdateMay 31, 20212 updates tracked since enumeration

NPPES CertifiedMay 31, 2021

✔ NPI 1447771019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZP0102X

License✔ Licensed in UT · 12248546-1205

Definition

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

15 N MEDICAL DR STE 1100, Salt Lake City, UT 84112

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Secondary Practice Location 1

Location 1940 Stanton L Young BlvdOklahoma City, OK 73104-5020 · Phone (405) 271-2451

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Nebraska, Medica, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carlos R. Dominguez Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3577923481

PECOS Enrollment IDI20230724001396

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.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

787 services405 patients

Pathology examination of tissue using a microscope, intermediate complexity 88305

238 services155 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

113 services49 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

98 services88 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

94 services75 patients

Microscopic genetic analysis of tumor, manual 88360

Microscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.

70 services20 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

64 services61 patients

Cell examination of specimen, selective cellular enhancement technique 88112

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

39 services35 patients

Pathology examination of tissue using a microscope, moderately high complexity 88307

A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.

37 services36 patients

Cell examination of specimen, selective cellular enhancement technique 88112

36 services33 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

25 services17 patients

Pathology examination of specimen during surgery, each additional tissue block 88332

During surgery, a pathology examination may be done on additional tissue blocks. This involves taking small samples of tissue and examining them under a microscope. This helps identify any abnormal cells or diseases present, aiding in the precise diagnosis and treatment planning.

18 services11 patients

Preparation of tissue for examination by removing any calcium present 88311

This procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.

12 services11 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Nebraska Medical Center

Acute Care Hospitals · Omaha, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number280013

Location987400 Nebraska Medical CenterOmaha, NE 68198 · Douglas County

Emergency services Birthing friendly

Chi Health St. Francis

Acute Care Hospitals · Grand Island, NE

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number280023

Location2620 West Faidley AveGrand Island, NE 68803 · Hall County

Emergency services Birthing friendly

Mary Lanning Healthcare

Acute Care Hospitals · Hastings, NE

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number280032

Location715 N St Joseph AveHastings, NE 68901 · Adams County

Emergency services Birthing friendly

Howard County Medical Center

Critical Access Hospitals · St Paul, NE

OwnershipVoluntary non-profit - Other

CMS Certification Number281338

LocationP O Box 406, 1113 Sherman StSt Paul, NE 68873 · Howard County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84112 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

$125.70 typical visit price

range $54.34 – $166.03

Typical copayment $31.42 (range $13.58 – $41.50)

Most-billed visit code 99204

Established Patient

$96.35 typical visit price

range $17.23 – $135.20

Typical copayment $24.08 (range $4.30 – $33.80)

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.

JOHN M. DAINES MD

Pathology (Anatomic Pathology & Clinical Pathology)