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DOMINIC LULLO MD
NPI 1598227415
Surgery in Mesa, AZ

Active since April 01, 2019PECOS EnrolledAccepts Medicare Assignment
2945 S DOBSON RD, MESA, AZ 85202(480) 969-4138(480) 969-0630 Get Directions Write a Review

NPPES record last updated: September 9, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Sep 9, 2025, Apr 1, 2019 (2 updates tracked since 2019).

About Dominic Lullo Md NPPES

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

DOMINIC LULLO MD (NPI 1598227415) is an individual surgery provider in Mesa, Arizona, licensed in Arizona (77760) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1598227415
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDOMINIC LULLOCredential: MD
Location Address2945 S DOBSON RDMesa, AZ 85202-7941
Mailing Address2945 S Dobson RdMesa, AZ 85202-7941 · (480) 969-4138
Phone(480) 969-4138
Fax(480) 969-0630
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 1, 2019
Last NPPES UpdateSeptember 9, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2025
✔ NPI 1598227415 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 77760
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
2945 S DOBSON RD, Mesa, AZ 85202
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Blue Cross Blue Shield of Arizona, Premera Blue Cross Blue Shield of Alaska.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

Dominic Lullo Md 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 ID9638674609
PECOS Enrollment IDI20250923001429
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Dominic Lullo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Banner Hospital Based Physicians Arizona LLC
9.1 mi
Multi-Specialty
1900 N HIGLEY RD
Gilbert, AZ 85234
  • Reassigned Medicare billing, Arizona enrollment
  • 1,081 clinicians in this Medicare group
NPI 1124374822 (480) 543-2034
Arizona Advanced Surgery LLC
14 mi
Surgery
2320 N 3RD ST
Phoenix, AZ 85004
  • Reassigned Medicare billing, Arizona enrollment
  • 105 clinicians in this Medicare group
NPI 1346880838 (602) 258-9900

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85202 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

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.

J. GREG RULA M.D.
Surgery
2945 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 969-4138
ADVANCED SURGICAL ASSOCIATES, LTD.
Surgery
2945 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 969-4138
DR. JEFFREY P SALOMONE MD
Surgery (Surgical Critical Care)
2945 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 969-4138
CHAD SUMMERS PA-C
Physician Assistant (Surgical)
2945 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 969-4138
LAWRENCE JOHN DAMORE II M.D.
Surgery
2945 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 969-4138
FRANCHESCA GIOVANNINI ALEXANDER P.A.-C
Physician Assistant (Surgical)
2945 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 969-4138
LAUREN L ANDERSON PA
Physician Assistant (Surgical)
2945 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 969-4138
DAVESHNI KUMAR MD
Surgery
2945 S DOBSON RD
MESA, AZ 85202
Maricopa County (480) 969-4138

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 Lullo's NPI number?

The NPI number for Dominic Lullo is 1598227415. It was assigned to this individual provider in the NPPES registry on April 1, 2019.

Where is Dominic Lullo located?

Dominic Lullo practices at 2945 S Dobson Rd, Mesa, AZ 85202. The listed phone number is (480) 969-4138.

What is Dominic Lullo's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dominic Lullo enrolled in Medicare?

Yes. Dominic Lullo 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 organizations bill Medicare for Dominic Lullo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dominic Lullo reassigns Medicare benefits to 2 organizations: Banner Hospital Based Physicians Arizona LLC (Gilbert, AZ) and Arizona Advanced Surgery LLC (Phoenix, AZ). Each 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 Dominic Lullo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dominic Lullo accept?

Health plans from Ambetter Health, Blue Cross Blue Shield of Arizona and Premera Blue Cross Blue Shield of Alaska list Dominic Lullo 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.

When was this NPI record last updated?

The NPPES record for Dominic Lullo was last updated on September 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.