ANGELA P DOMINIQUE D.P.M. NPI 1508972563

Podiatrist in Fultondale, AL

NPI 1508972563 Individual Female Years of Experience 26 Podiatrist PECOS Enrolled Accepts Medicare Approved Payment

About ANGELA DOMINIQUE

Angela Dominique is a provider established in Fultondale, Alabama and her medical specialization is podiatrist with more than 26 years of experience. She graduated from Des Moines University Of Osteopathic Medicine And Health Sciences in 1996. The NPI number of Angela Dominique is 1508972563 and was assigned on August 2006. The practitioner's primary taxonomy code is 213E00000X with license number 180 (AL). The provider is registered as an individual and her NPI record was last updated 5 years ago.

A podiatrist like Angela P Dominique D.p.m. provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Angela Dominique is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA)

Angela Dominique is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

NPI

1508972563

Provider Name ANGELA P DOMINIQUE D.P.M.
Provider Location Address3524 DECATUR HWY SUITE 301 FULTONDALE, AL 35068
Provider Mailing Address3524 DECATUR HWY SUITE 301 FULTONDALE, AL 35068
GenderFemale
NPI Entity TypeIndividual
Medical School NameDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduation Year1996
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date08-22-2006
Last Update Date06-27-2016


Primary Taxonomy

Taxonomy Code213E00000X
ClassificationPodiatrist
TypePodiatric Medicine & Surgery Service Providers
License No.180
License StateAL
Taxonomy DescriptionA podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Business Address

ANGELA P DOMINIQUE D.P.M.
3524 DECATUR HWY
SUITE 301
FULTONDALE, AL
ZIP 35068
Phone: (205) 631-3699
Fax: (205) 631-7325

Get Directions


Mailing Address

ANGELA P DOMINIQUE D.P.M.
3524 DECATUR HWY
SUITE 301
FULTONDALE, AL
ZIP 35068
Phone: (205) 631-3699
Fax: (205) 631-7325



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3476734021
PECOS Enrollment IDI20110302000241
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesNo

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 899Removal of tissue from 1 to 5 finger or toe nails (HCPCS:11720)
  • 656Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)
  • 93Removal of tissue from wounds per session (HCPCS:97597)
  • 39Removal of skin and tissue first 20 sq cm or less (HCPCS:11042)
  • 32X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 32Destruction of up to 14 skin growths (HCPCS:17110)
  • 24Injections of tendon sheath, ligament, or muscle membrane (HCPCS:20550)

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000044894MEDICARE PIN (08)
U71228MEDICARE UPIN (02)AL
000060837MEDICAID (05)AL
27-10123OTHER (01)AL
U71228OTHER (01)AL
510-60837OTHER (01)AL
1536404OTHER (01)AL
480026565OTHER (01)AL

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1811001886TPS, LLC
Organization
Pharmacy (Community/Retail Pharmacy)3524 DECATUR HWY
FULTONDALE, AL 35068
(205) 608-4995
1194301440 CARLA IN MCEWEN
Individual
Pharmacist3524 DECATUR HWY
FULTONDALE, AL 35068
(877) 608-4995

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.