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DR. DOMINIC PENNISI M.D.
NPI 1548703036
Internal Medicine in Lodi, CA

Active since December 01, 2016PECOS Enrolled
832 S FAIRMONT AVE, LODI, CA 95240(209) 365-9331(209) 365-9359 Get Directions Write a Review

NPPES record last updated: February 11, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 11, 2022, Jan 12, 2022 (2 updates tracked since 2022).

About Dr. Dominic Pennisi M.d. NPPES

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

DR. DOMINIC PENNISI M.D. (NPI 1548703036) is an individual internal medicine provider in Lodi, California, licensed in California (A175794) and active in the NPI registry since December 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1548703036
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DOMINIC PENNISICredential: M.D.
Location Address832 S FAIRMONT AVELodi, CA 95240-5117
Mailing AddressPo Box 1434Lodi, CA 95241-1434 · (209) 462-7277 · Fax (866) 950-0134
Phone(209) 365-9331
Fax(209) 365-9359
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateDecember 1, 2016
Last NPPES UpdateFebruary 11, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
✔ NPI 1548703036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A175794
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
832 S FAIRMONT AVE, Lodi, CA 95240
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Dominic Pennisi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8224420666
PECOS Enrollment IDI20220117000665
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 9

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.
482 services234 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.
187 services143 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
110 services80 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
69 services69 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
41 services41 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
31 services31 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95240 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
$133.94 typical visit price
range $58.87 – $176.60
Typical copayment $33.48 (range $14.71 – $44.15)
Most-billed visit code 99204
Established Patient
$103.36 typical visit price
range $19.28 – $144.60
Typical copayment $25.84 (range $4.82 – $36.15)
Most-billed visit code 99214
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 2

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

MS. ISABEL S. ROMENA FNP
Nurse Practitioner (Family)
832 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 365-9331
TOWNS HEALTH SERVICES, INC.
Substance Abuse Rehabilitation Facility
832 S FAIRMONT AVE
LODI, CA 95240
San Joaquin County (209) 744-9909

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 Dominic Pennisi's NPI number?

The NPI number for Dominic Pennisi is 1548703036. It was assigned to this individual provider in the NPPES registry on December 1, 2016.

Where is Dominic Pennisi located?

Dominic Pennisi practices at 832 S Fairmont Ave, Lodi, CA 95240. The listed phone number is (209) 365-9331.

What is Dominic Pennisi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Dominic Pennisi enrolled in Medicare?

Yes. Dominic Pennisi is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominic Pennisi was last updated on February 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.