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DINO RAUL DOMINGUEZ JR. CRNA
NPI 1629052436
Nurse Anesthetist, Certified Registered in Phoenix, AZ

Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
4212 N 16TH ST, PHOENIX, AZ 85016(602) 263-1200(602) 263-1619 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 16, 2026, Sep 23, 2019, Sep 13, 2018 (3 updates tracked since 2018).

About Dino Raul Dominguez Jr. Crna NPPES

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

DINO RAUL DOMINGUEZ JR. CRNA (NPI 1629052436) is an individual nurse anesthetist, certified registered in Phoenix, Arizona, licensed in Arizona (CRNA0564) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1629052436
Entity TypeIndividualMale
Primary Taxonomy367500000X
Provider Legal NameDINO RAUL DOMINGUEZ JR.Credential: CRNA
Location Address4212 N 16TH STPhoenix, AZ 85016-5319
Mailing AddressPo Box 95460Cleveland, OH 44101-0033 · (602) 581-6076 · Fax (602) 263-1619
Phone(602) 263-1200
Fax(602) 263-1619
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateDecember 5, 2005
Last NPPES UpdateMarch 16, 20263 updates tracked since enumeration
NPPES CertifiedMarch 16, 2026
✔ NPI 1629052436 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in AZ · CRNA0564✔ Licensed in MD · R168347
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN3150502 (FL)
4212 N 16TH ST, Phoenix, AZ 85016
Open in Google Maps ↗

Secondary Practice Locations 4

Location 1222 Cheshire RdSeverna Park, MD 21146-3215 · Phone (410) 328-7548
Location 28901 E Raintree Dr Ste 100Scottsdale, AZ 85260 · Phone (480) 767-2100
Location 32620 N 3rd StPhoenix, AZ 85004-1153 · Phone (602) 489-3391 · Fax (602) 452-1464
Location 4875 N Greenfield Rd Ste 107Gilbert, AZ 85234-5044 · Phone (480) 813-8700

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, Oscar Health, Oscar Health Plan, Inc. and more.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

Dino Raul Dominguez Jr. Crna 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 ID1557360138
PECOS Enrollment IDI20101029000593
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

8

Medicare enrollment records show Dino Dominguez reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm
Same address
Public Health or Welfare
4212 N 16TH ST
Phoenix, AZ 85016
  • Reassigned Medicare billing, Texas enrollment
  • 599 clinicians in this Medicare group
NPI 1083643738 (602) 263-1200
Valley Anesthesiology Consultants, Inc.
12 mi
Anesthesiology
2262 E ROSE GARDEN LN
Phoenix, AZ 85024
  • Reassigned Medicare billing, Arizona enrollment
  • 518 clinicians in this Medicare group
NPI 1285660704 (954) 939-5000
Scottsdale Surgical Partners LLC
12 mi
Anesthesiology
8901 E RAINTREE DR STE 100
Scottsdale, AZ 85260
  • Reassigned Medicare billing, Arizona enrollment
  • 77 clinicians in this Medicare group
NPI 1396232559 (209) 956-7725
Network Anesthesia Consultants LLC
17 mi
Anesthesiology
1940 W CHANDLER BLVD STE 2-612
Chandler, AZ 85224
  • Reassigned Medicare billing, Arizona enrollment
  • 26 clinicians in this Medicare group
NPI 1083125843 (480) 757-0707
Gateway Anesthesia And Pain Associates PLLC
20 mi
Pain Medicine
4824 E BASELINE RD STE 140
Mesa, AZ 85206
  • Reassigned Medicare billing, Arizona enrollment
  • 94 clinicians in this Medicare group
NPI 1710026125 (480) 924-7091
Banner Hospital Based Physicians Arizona LLC
20 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
Dhhs Ihs Phoenix Area
98 mi
Clinic/Center
NORTH CROMWELL ROAD
Cibecue, AZ 85911
  • Reassigned Medicare billing, Texas enrollment
  • 214 clinicians in this Medicare group
NPI 1427335181 (928) 332-2560
Hospitalist Medicine Physicians Of Arizona - Nogales
119 mi
Nurse Anesthetist, Certified Registered
5755 S HOUGHTON RD
Tucson, AZ 85747
  • Reassigned Medicare billing, Arizona enrollment
  • 204 clinicians in this Medicare group
NPI 1487251799 (520) 324-5818

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 85016 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
$127.71 typical visit price
range $55.44 – $168.60
Typical copayment $31.92 (range $13.86 – $42.15)
Most-billed visit code 99204
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.

WENDY RAZO
Registered Nurse (Obstetric, High-Risk)
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
THOMAS RYAN HALL RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. UMAR IQBAL M.D.
Family Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
SHARLA LOUISE WYATT RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
KATELYN WENTWORTH PELTIER PHARMD
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
LAURA MOLANDER
Pharmacist
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
DR. ADEL M SALAMA M.D.
Internal Medicine
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1200
ANCITA BIGMAN RN
Registered Nurse
4212 N 16TH ST
PHOENIX, AZ 85016
Maricopa County (602) 263-1511

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 Dino Dominguez's NPI number?

The NPI number for Dino Dominguez is 1629052436. It was assigned to this individual provider in the NPPES registry on December 5, 2005.

Where is Dino Dominguez located?

Dino Dominguez practices at 4212 N 16th St, Phoenix, AZ 85016. The listed phone number is (602) 263-1200.

What is Dino Dominguez's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Dino Dominguez enrolled in Medicare?

Yes. Dino 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 organizations bill Medicare for Dino Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dino Dominguez reassigns Medicare benefits to 8 organizations: Dhew Ind Hlth Sv Hlth Svs & Mntl Hlth Adm (Phoenix, AZ), Valley Anesthesiology Consultants, Inc. (Phoenix, AZ), Scottsdale Surgical Partners LLC (Scottsdale, AZ), Network Anesthesia Consultants LLC (Chandler, AZ), Gateway Anesthesia And Pain Associates PLLC (Mesa, AZ) and 3 more organizations, listed in the Medicare section above. 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 Dino Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dino Dominguez accept?

Health plans from Blue Cross Blue Shield of Arizona, Oscar Health, Oscar Health Plan, Inc. and Oscar Insurance Company list Dino 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.

When was this NPI record last updated?

The NPPES record for Dino Dominguez was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.