DR. LISETTE DOMINGUEZ DO
NPI 1578023842
Psychiatry & Neurology - Neurology in Circleville, OH
About Dr. Lisette Dominguez Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LISETTE DOMINGUEZ DO (NPI 1578023842) is an individual neurology provider in Circleville, Ohio, licensed in Ohio (34.017288) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and is a graduate of Other (2019).
NPPES Registry Identity
Specialties & Licenses 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Lisette Dominguez Do 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.
Medicare Billing Reassignment
Medicare enrollment records show Lisette Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Columbus, OH 43215
- Reassigned Medicare billing, Ohio enrollment
- 3,314 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverside Methodist Hospital
Acute Care Hospitals · Columbus, OHGrant Medical Center
Acute Care Hospitals · Columbus, OHBerger Hospital
Acute Care Hospitals · Circleville, OHGrady Memorial Hospital
Acute Care Hospitals · Delaware, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 43113 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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 Lisette Dominguez's NPI number?
The NPI number for Lisette Dominguez is 1578023842. It was assigned to this individual provider in the NPPES registry on March 22, 2019.
Where is Lisette Dominguez located?
Lisette Dominguez practices at 600 N Pickaway St Ste 200, Circleville, OH 43113. The listed phone number is (614) 533-5500.
What is Lisette Dominguez's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Lisette Dominguez enrolled in Medicare?
Yes. Lisette Dominguez 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.
Which organization bills Medicare for Lisette Dominguez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lisette Dominguez reassigns Medicare benefits to Ohiohealth Corporation (Columbus, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Lisette Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lisette Dominguez accept?
Health plans from Anthem Blue Cross and Blue Shield, MedMutual and Sanford Health Plan list Lisette Dominguez 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 Lisette Dominguez affiliated with any hospitals?
According to CMS data, Lisette Dominguez is affiliated with Riverside Methodist Hospital, Grant Medical Center, Berger Hospital and Grady Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Lisette Dominguez was last updated on July 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Lisette Dominguez, DO · NPI 1578023842
Neurology physician in Circleville, Ohio. Individual provider, active in the CMS NPPES registry since March 22, 2019.
## Identity
- **NPI:** 1578023842 (Entity type: Individual)
- **Enumerated:** March 22, 2019
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** 34.017288 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 N PICKAWAY ST STE 200, Circleville, OH 43113-1447
- **Phone:** (614) 533-5500 · **Fax:** (614) 533-0103
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Ohiohealth Corporation (NPI 1407292105, Columbus, OH), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2019
## Record status
- **NPPES last updated:** July 23, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1578023842) · Data from the CMS NPPES public registry.