MR. KELWIN JAIRO DOMINGUEZ
NPI 1487106415
Counselor - Mental Health in Brooklyn, NY
About Mr. Kelwin Jairo Dominguez NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. KELWIN JAIRO DOMINGUEZ (NPI 1487106415) is an individual mental health provider in Brooklyn, New York, licensed in (0) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Brooklyn, and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mr. Kelwin Jairo Dominguez 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.
Medicare Billing Reassignments
2Medicare enrollment records show Kelwin Dominguez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Brooklyn, NY 11229
- Reassigned Medicare billing, New York enrollment
- 306 clinicians in this Medicare group
Brooklyn, NY 11206
- Reassigned Medicare billing, New York enrollment
- 24 clinicians in this Medicare group
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 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kelwin Dominguez's NPI number?
The NPI number for Kelwin Dominguez is 1487106415. It was assigned to this individual provider in the NPPES registry on October 25, 2016.
Where is Kelwin Dominguez located?
Kelwin Dominguez practices at 1623 Kings Hwy, Brooklyn, NY 11229. The listed phone number is (718) 375-1200.
What is Kelwin Dominguez's specialty?
The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.
Is Kelwin Dominguez enrolled in Medicare?
Yes. Kelwin Dominguez 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.
Which organizations bill Medicare for Kelwin Dominguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kelwin Dominguez reassigns Medicare benefits to 2 organizations: Interborough Developmental And Consultation Center, Inc. (Brooklyn, NY) and Puerto Rican Family Institute, Inc. (Brooklyn, NY). 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 Kelwin Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kelwin Dominguez was last updated on March 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Mr. Kelwin Jairo Dominguez · NPI 1487106415
Mental Health provider in Brooklyn, New York. Individual provider, active in the CMS NPPES registry since October 25, 2016.
## Identity
- **NPI:** 1487106415 (Entity type: Individual)
- **Enumerated:** October 25, 2016
- **Primary specialty:** Counselor - Mental Health · taxonomy 101YM0800X
- **State license:** 0
- **Sole proprietor:** No
## Practice location
- **Address:** 1623 KINGS HWY, Brooklyn, NY 11229
- **Phone:** (718) 375-1200
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Interborough Developmental And Consultation Center, Inc. (NPI 1588611842, Brooklyn, NY); Puerto Rican Family Institute, Inc. (NPI 1609980762, Brooklyn, NY) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** March 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1487106415) · Data from the CMS NPPES public registry.