DR. DAMIAN JERZY DOMANSKI M.D.
NPI 1508012030
Internal Medicine - Cardiovascular Disease in Salt Lake City, UT

Active since August 15, 2008PECOS EnrolledAccepts Medicare Assignment
88.75/100
CMS Quality Rating
1160 E 3900 S STE 2000, SALT LAKE CITY, UT 84124(801) 266-3418(801) 266-4174 Get Directions Write a Review

NPPES record last updated: January 4, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 4, 2022, Aug 10, 2020, May 29, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Damian Jerzy Domanski M.d. NPPES

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

DR. DAMIAN JERZY DOMANSKI M.D. (NPI 1508012030) is an individual cardiovascular disease provider in Salt Lake City, Utah, licensed in Utah (11493948-1205) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS, is affiliated with University Of Utah Hospitals And Clinics, and maintains a secondary practice location in Draper.

NPPES Registry Identity

NPI1508012030
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. DAMIAN JERZY DOMANSKICredential: M.D.
Location Address1160 E 3900 S STE 2000Salt Lake City, UT 84124-1236
Mailing AddressPo Box 741729Atlanta, GA 30374-1729
Fax(801) 266-4174
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateAugust 15, 2008
Last NPPES UpdateJanuary 4, 20224 updates tracked since enumeration
NPPES CertifiedAugust 10, 2020
NPI 1508012030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in UT · 11493948-1205
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1160 E 3900 S STE 2000, Salt Lake City, UT 84124

Secondary Practice Location 1

Location 174 E Kimballs Ln Ste 330Draper, UT 84020-5006 · Phone (801) 266-3418 · Fax (801) 266-4174

Other Identifiers 2

Medicaid0092152OH
Medicaid7100268970KY

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 and accepts Medicare assignment

Dr. Damian Jerzy Domanski M.d. 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 ID42454118
PECOS Enrollment IDI20200217004695
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 17

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 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.
603 services293 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
359 services329 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
258 services144 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
192 services188 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
140 services139 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
136 services134 patients

Hospital Affiliations CMS Care Compare 4

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

University Of Utah Hospitals And Clinics

Acute Care Hospitals · Salt Lake City, UT
5/5 CMS rating
OwnershipGovernment - State
CMS Certification Number460009
Location50 North Medical DriveSalt Lake City, UT 84132 · Salt Lake County
Emergency services Birthing friendly

St Mark's Hospital

Acute Care Hospitals · Salt Lake City, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460047
Location1200 East 3900 SouthSalt Lake City, UT 84124 · Salt Lake County
Emergency services Birthing friendly

Timpanogos Regional Hospital

Acute Care Hospitals · Orem, UT
3/5 CMS rating
OwnershipProprietary
CMS Certification Number460052
Location750 West 800 NorthOrem, UT 84057 · Utah County
Emergency services Birthing friendly

Lone Peak Hospital

Acute Care Hospitals · Draper, UT
5/5 CMS rating
OwnershipProprietary
CMS Certification Number460060
Location11925 South State StreetDraper, UT 84020 · Salt Lake County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 84124 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
$68.01 typical visit price
range $17.23 – $135.20
Typical copayment $17.00 (range $4.30 – $33.80)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.76
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
100%23 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
76%459 patients4/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
89%61 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
99%3,305 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
98%693 patients4/55-star benchmark: 100%
Heart Failure (HF): Angiotensin-Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) or Angiotensin Receptor-Neprilysin Inhibitor (ARNI) Therapy for Left Ventricular Systolic Dysfunction (LVSD)
83%48 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
24%2,368 patients2/55-star benchmark: 61%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
81%737 patients4/55-star benchmark: 91%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 19

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

Nurse Practitioner
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Physician Assistant
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Internal Medicine (Interventional Cardiology)
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Nurse Practitioner (Family)
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Nurse Practitioner
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Internal Medicine (Interventional Cardiology)
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Nurse Practitioner
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124
Nurse Practitioner
1160 E 3900 S STE 2000
SALT LAKE CITY, UT 84124

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 Damian Domanski's NPI number?

The NPI number for Damian Domanski is 1508012030. It was assigned to this individual provider in the NPPES registry on August 15, 2008.

Where is Damian Domanski located?

Damian Domanski practices at 1160 E 3900 S Ste 2000, Salt Lake City, UT 84124. The listed phone number is (801) 266-3418.

What is Damian Domanski's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Damian Domanski enrolled in Medicare?

Yes. Damian Domanski 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.

What insurance does Damian Domanski accept?

Health plans from BridgeSpan Health Company, CareSource, Molina Healthcare, Regence BlueCross BlueShield of Utah and University of Utah Health Plans list Damian Domanski 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.

Is Damian Domanski affiliated with any hospitals?

According to CMS data, Damian Domanski is affiliated with University Of Utah Hospitals And Clinics, St Mark's Hospital, Timpanogos Regional Hospital and Lone Peak Hospital.

When was this NPI record last updated?

The NPPES record for Damian Domanski was last updated on January 4, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.