LILLIAN DOMINGUEZ-KONICKI MD
NPI 1629605787
Nuclear Medicine in Lebanon, NH

Active since March 26, 2020PECOS EnrolledAccepts Medicare Assignment
1 MEDICAL CENTER DR, LEBANON, NH 03756(603) 650-5000 Get Directions Write a Review

NPPES record last updated: July 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Lillian Dominguez-konicki Md NPPES

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

LILLIAN DOMINGUEZ-KONICKI MD (NPI 1629605787) is an individual nuclear medicine provider in Lebanon, New Hampshire, licensed in New Hampshire (34594) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1629605787
Entity TypeIndividualFemale
Primary Taxonomy207U00000X
Provider Legal NameLILLIAN DOMINGUEZ-KONICKICredential: MD
Location Address1 MEDICAL CENTER DRLebanon, NH 03756-0001
Mailing Address2 Westgate RdCumberland, RI 02864-1302
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 26, 2020
Last NPPES UpdateJuly 23, 2025
NPPES CertifiedJuly 1, 2025
✔ NPI 1629605787 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNuclear MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207U00000X
License✔ Licensed in NH · 34594
Definition
A nuclear medicine specialist employs the properties of radioactive atoms and molecules in the diagnosis and treatment of disease and in research. Radiation detection and imaging instrument systems are used to detect disease as it changes the function and metabolism of normal cells, tissues and organs. A wide variety of diseases can be found in this way, usually before the structure of the organ involved by the disease can be seen to be abnormal by any other techniques. Early detection of coronary artery disease (including acute heart attack), early cancer detection and evaluation of the effect of tumor treatment, diagnosis of infection and inflammation anywhere in the body and early detection of blood clot in the lungs are all possible with these techniques. Unique forms of radioactive molecules can attack and kill cancer cells (e.g., lymphoma, thyroid cancer) or can relieve the severe pain of cancer that has spread to bone
1 MEDICAL CENTER DR, Lebanon, NH 03756

Secondary Practice Locations 4

Location 1253 Pleasant StConcord, NH 03301-7560 · Phone (603) 226-2200
Location 2100 Hitchcock WayManchester, NH 03104-4125 · Phone (603) 695-2500
Location 387 McGregor StManchester, NH 03102-3765 · Phone (603) 695-2500
Location 42300 Southwood DrNashua, NH 03063-1818 · Phone (603) 577-4000

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

Lillian Dominguez-konicki 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 ID2466877642
PECOS Enrollment IDI20250729004295, I20260727000695
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 Lillian Dominguez-konicki reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
1 MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire enrollment
  • 2,620 clinicians in this Medicare group
Internal Medicine
ONE MEDICAL CENTER DR
Lebanon, NH 03756
  • Reassigned Medicare billing, New Hampshire and Vermont enrollments
  • 2,999 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.

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

New London Hospital

Critical Access Hospitals · New London, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301304
Location273 County RoadNew London, NH 03257 · Merrimack County
Emergency services

Alice Peck Day Memorial Hospital

Critical Access Hospitals · Lebanon, NH
OwnershipVoluntary non-profit - Private
CMS Certification Number301305
Location10 Alice Peck Day DriveLebanon, NH 03766 · Grafton County
Emergency services

Huggins Hospital

Critical Access Hospitals · Wolfeboro, NH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number301312
Location240 South Main StreetWolfeboro, NH 03894 · Carroll County
Emergency services

Copley Hospital

Critical Access Hospitals · Morrisville, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471305
Location528 Washington HighwayMorrisville, VT 05661 · Lamoille County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 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
$132.09 typical visit price
range $57.75 – $174.26
Typical copayment $33.02 (range $14.43 – $43.56)
Most-billed visit code 99204
Established Patient
$101.54 typical visit price
range $18.70 – $142.15
Typical copayment $25.38 (range $4.67 – $35.53)
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.

Nurse Practitioner (Family)
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF OCCUPATION MEDICINE
LEBANON, NH 03756
Pharmacist (Oncology)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine
1 MEDICAL CENTER DR, DHMC SECTION OF HOSPITAL MEDICINE
LEBANON, NH 03756
Otolaryngology
1 MEDICAL CENTER DR, OTOLARYNGOLOGY
LEBANON, NH 03756
Colon & Rectal Surgery
1 MEDICAL CENTER DR, COLON & RECTAL SURGERY DEPARTMENT
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756
Internal Medicine (Cardiovascular Disease)
1 MEDICAL CENTER DR
LEBANON, NH 03756
Student in an Organized Health Care Education/Training Program
1 MEDICAL CENTER DR
LEBANON, NH 03756

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 Lillian Dominguez-konicki's NPI number?

The NPI number for Lillian Dominguez-konicki is 1629605787. It was assigned to this individual provider in the NPPES registry on March 26, 2020.

Where is Lillian Dominguez-konicki located?

Lillian Dominguez-konicki practices at 1 Medical Center Dr, Lebanon, NH 03756. The listed phone number is (603) 650-5000.

What is Lillian Dominguez-konicki's specialty?

The primary specialty registered for this NPI is Nuclear Medicine with taxonomy code 207U00000X.

Is Lillian Dominguez-konicki enrolled in Medicare?

Yes. Lillian Dominguez-konicki 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 Lillian Dominguez-konicki's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lillian Dominguez-konicki reassigns Medicare benefits to 2 organizations: Mary Hitchcock Memorial Hospital (Lebanon, NH) and Dartmouth-Hitchcock Clinic (Lebanon, NH). 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 Lillian Dominguez-konicki's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Lillian Dominguez-konicki accept?

Health plans from Ambetter from NH Healthy Families list Lillian Dominguez-konicki 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 Lillian Dominguez-konicki affiliated with any hospitals?

According to CMS data, Lillian Dominguez-konicki is affiliated with Mary Hitchcock Memorial Hospital, New London Hospital, Alice Peck Day Memorial Hospital, Huggins Hospital and Copley Hospital.

When was this NPI record last updated?

The NPPES record for Lillian Dominguez-konicki was last updated on July 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.