HAZEL DHATES ASUNIO DOMINGO PA-C
NPI 1508253410
Physician Assistant in Chicago, IL

Q: What is Hazel Dhates Domingo's NPI number?

The NPI number for Hazel Dhates Domingo is 1508253410. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Q: What is Hazel Dhates Domingo's specialty?

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

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment

94.1/100

CMS Quality Rating

259 E ERIE ST FL 16, CHICAGO, IL 60611(312) 695-5620(312) 695-0042 Get Directions Write a Review

NPPES record last updated: August 5, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2019, May 17, 2019, Jul 12, 2017 (3 updates tracked since 2017).

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About Hazel Dhates Asunio Domingo Pa-c NPPES

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

HAZEL DHATES ASUNIO DOMINGO PA-C (NPI 1508253410) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.0007019) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Northwestern Memorial Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1508253410

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameHAZEL DHATES ASUNIO DOMINGOCredential: PA-C

Location Address259 E ERIE ST FL 16Chicago, IL 60611-2987

Mailing Address676 N Saint Clair St Ste 2000Chicago, IL 60611-3147 · (312) 695-4837 · Fax (312) 695-0042

Phone(312) 695-5620

Fax(312) 695-0042

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateApril 17, 2015

Last NPPES UpdateAugust 5, 20193 updates tracked since enumeration

✔ NPI 1508253410 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 IL · 085.0007019

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.

259 E ERIE ST FL 16, Chicago, IL 60611

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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

Hazel Dhates Asunio Domingo 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 ID2668777681

PECOS Enrollment IDI20190611000208

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

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 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.

31 services29 patients

Hospital Affiliations CMS Care Compare

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

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number140281

Location251 E Huron StChicago, IL 60611 · Cook County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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

$94.06 typical visit price

range $60.08 – $183.39

Typical copayment $23.51 (range $15.02 – $45.84)

Most-billed visit code 99203

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

94.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.59

Promoting Interoperability

100

Improvement Activities

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Other Providers at the Same Location NPPES 12

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

JASMINE JOHNSON MS, RD, LD

Dietitian, Registered

259 E ERIE ST FL 16
CHICAGO, IL 60611

Cook County (312) 695-7070

ANNE M STEY MD

Surgery (Trauma Surgery)

259 E ERIE ST FL 16
CHICAGO, IL 60611

Cook County (312) 695-8918

DR. ALEXANDRA BAUMANN D.O.

Internal Medicine (Gastroenterology)

259 E ERIE ST FL 16
CHICAGO, IL 60611

Cook County (312) 695-5620

AMY ROSE ARBUS RD

Dietitian, Registered

259 E ERIE ST FL 16
CHICAGO, IL 60611

Cook County (312) 695-7070

DR. SARA HOFFMAN PHD

Psychologist (Clinical)

259 E ERIE ST FL 16
CHICAGO, IL 60611

Cook County (312) 629-2620

MRS. JENNIFER A CARVAJAL APN

Nurse Practitioner (Family)

259 E ERIE ST FL 16
CHICAGO, IL 60611

Cook County (312) 695-6868

DR. KATHRYN NOTH TOMASINO PH.D.

Psychologist (Clinical)

259 E ERIE ST FL 16, LAVIN FAMILY PAVILION
CHICAGO, IL 60611

Cook County (312) 629-2620

RICHARD GREEN MD

Internal Medicine (Gastroenterology)

259 E ERIE ST FL 16
CHICAGO, IL 60611

Cook County (312) 695-5620

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 Hazel Dhates Domingo's NPI number?

The NPI number for Hazel Dhates Domingo is 1508253410. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Hazel Dhates Domingo located?

Hazel Dhates Domingo practices at 259 E Erie St Fl 16, Chicago, IL 60611. The listed phone number is (312) 695-5620.

What is Hazel Dhates Domingo's specialty?

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

Is Hazel Dhates Domingo enrolled in Medicare?

Yes. Hazel Dhates Domingo 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.

Is Hazel Dhates Domingo affiliated with any hospitals?

According to CMS data, Hazel Dhates Domingo is affiliated with Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Hazel Dhates Domingo was last updated on August 5, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.