MARIA VICTORIA LOPEZ DOMINGUEZ MD
NPI 1568450617
Pediatrics in Clearwater, FL

Q: What is Maria Lopez Dominguez's NPI number?

The NPI number for Maria Lopez Dominguez is 1568450617. It was assigned to this individual provider in the NPPES registry on October 12, 2005. The provider is also known as Maria Victoria Lopez Dominguez.

Q: What is Maria Lopez Dominguez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since October 12, 2005PECOS Enrolled

14100 58TH ST N, CLEARWATER, FL 33760(727) 824-8181 Get Directions Write a Review

NPPES record last updated: December 3, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Maria Victoria Lopez Dominguez Md NPPES

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

MARIA VICTORIA LOPEZ DOMINGUEZ MD (NPI 1568450617) is an individual pediatrics provider in Clearwater, Florida, licensed in Florida (ME81536) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS and maintains a secondary practice location in Largo.

NPPES Registry Identity

NPI1568450617

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameMARIA VICTORIA LOPEZ DOMINGUEZCredential: MD

Location Address14100 58TH ST NClearwater, FL 33760-9900

Mailing Address14100 58th St NClearwater, FL 33760-9900 · (727) 824-8181

Phone(727) 824-8181

Sole ProprietorNo

Enumeration DateOctober 12, 2005

Last NPPES UpdateDecember 3, 2024

NPPES CertifiedDecember 3, 2024

✔ NPI 1568450617 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME81536

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

14100 58TH ST N, Clearwater, FL 33760

Open in Google Maps ↗

Other Names 1

Other Name (5)Maria Victoria Lopez Dominguez

Secondary Practice Location 1

Location 112170 Seminole BlvdLargo, FL 33778-2833 · Phone (727) 586-5355 · Fax (727) 586-6997

Other Identifiers 1

Medicaid010564800FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maria Victoria Lopez Dominguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33760 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

$87.62 typical visit price

range $56.00 – $171.84

Typical copayment $21.90 (range $14.00 – $42.96)

Most-billed visit code 99203

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

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 20

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

ALYSSA BENSON

Nurse Practitioner (Family)