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DOMANTE BERULYTE PA-C
NPI 1457010001
Physician Assistant in Los Gatos, CA

Active since December 10, 2021PECOS EnrolledAccepts Medicare Assignment
15720 WINCHESTER BLVD, LOS GATOS, CA 95030(408) 730-6160 Get Directions Write a Review

NPPES record last updated: February 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 10, 2023, Feb 1, 2022, Dec 10, 2021 (3 updates tracked since 2021).

About Domante Berulyte Pa-c NPPES

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

DOMANTE BERULYTE PA-C (NPI 1457010001) is an individual physician assistant in Los Gatos, California, licensed in California (PA60194) and active in the NPI registry since December 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1457010001
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameDOMANTE BERULYTECredential: PA-C
Location Address15720 WINCHESTER BLVDLos Gatos, CA 95030-3337
Mailing Address325 Distel CirLos Altos, CA 94022-1408
Phone(408) 730-6160
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 10, 2021
Last NPPES UpdateFebruary 10, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 10, 2023
✔ NPI 1457010001 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA60194
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
15720 WINCHESTER BLVD, Los Gatos, CA 95030
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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

Domante Berulyte Pa-c 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 ID3577955319
PECOS Enrollment IDI20220127002623
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 3

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services43 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
25 services20 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95030 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
$106.47 typical visit price
range $70.37 – $206.04
Typical copayment $26.61 (range $17.59 – $51.51)
Most-billed visit code 99203
Established Patient
$86.56 typical visit price
range $23.96 – $169.60
Typical copayment $21.64 (range $5.99 – $42.40)
Most-billed visit code 99213
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 10

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

RAJ S KULLAR M.D.
Orthopaedic Surgery (Sports Medicine)
15720 WINCHESTER BLVD
LOS GATOS, CA 95030
Santa Clara County (408) 730-6160
MS. ALICE EDA CARROLL MSW LCSW
Social Worker (Clinical)
15720 WINCHESTER BLVD, STE 3
LOS GATOS, CA 95030
Santa Clara County (408) 395-7174
JENNIFER L SORRELL M.D.
Dermatology (Pediatric Dermatology)
15720 WINCHESTER BLVD
LOS GATOS, CA 95030
Santa Clara County (408) 730-6130
DEEPTI PUJARE
Internal Medicine (Endocrinology, Diabetes & Metabolism)
15720 WINCHESTER BLVD
LOS GATOS, CA 95030
Santa Clara County (408) 354-3737
WENNIE LIAO MD
Dermatology
15720 WINCHESTER BLVD
LOS GATOS, CA 95030
Santa Clara County (408) 730-6130
DR. CASIMIR LARKIN DOWD MD
Orthopaedic Surgery (Hand Surgery)
15720 WINCHESTER BLVD
LOS GATOS, CA 95030
Santa Clara County (650) 934-7111
BRYCE CARL HOFFMAN M.D.
Allergy & Immunology
15720 WINCHESTER BLVD
LOS GATOS, CA 95030
Santa Clara County (650) 934-7888
DR. MARY MORRILL CHUBA M.D.
Dermatology
15720 WINCHESTER BLVD
LOS GATOS, CA 95030
Santa Clara County (408) 730-6130

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 Domante Berulyte's NPI number?

The NPI number for Domante Berulyte is 1457010001. It was assigned to this individual provider in the NPPES registry on December 10, 2021.

Where is Domante Berulyte located?

Domante Berulyte practices at 15720 Winchester Blvd, Los Gatos, CA 95030. The listed phone number is (408) 730-6160.

What is Domante Berulyte's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Domante Berulyte enrolled in Medicare?

Yes. Domante Berulyte is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Domante Berulyte was last updated on February 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.