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OMAR FERNANDO DOMINGUEZ M.D.
NPI 1689294803
Internal Medicine in Dalton, GA

Active since April 17, 2020PECOS EnrolledAccepts Medicare Assignment
1200 MEMORIAL DRIVE, HAMILTON MEDICAL CENTER, ATTN: RESIDENCY PROGRAM, DALTON, GA 30720(706) 272-6132 Get Directions Write a Review

NPPES record last updated: August 10, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 10, 2023, Jul 28, 2023, Jan 10, 2022 and 1 more (4 updates tracked since 2020).

About Omar Fernando Dominguez M.d. NPPES

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

OMAR FERNANDO DOMINGUEZ M.D. (NPI 1689294803) is an individual internal medicine provider in Dalton, Georgia, licensed in Georgia (96719) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Hamilton Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1689294803
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameOMAR FERNANDO DOMINGUEZCredential: M.D.
Location Address1200 MEMORIAL DRIVE, HAMILTON MEDICAL CENTER, ATTN: RESIDENCY PROGRAMDalton, GA 30720
Mailing Address1200 Memorial Drive, Hamilton Medical Center, Attn: Residency ProgramDalton, GA 30720 · (706) 272-6132
Phone(706) 272-6132
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 17, 2020
Last NPPES UpdateAugust 10, 20234 updates tracked since enumeration
NPPES CertifiedAugust 10, 2023
✔ NPI 1689294803 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 96719
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1200 MEMORIAL DRIVE, Dalton, GA 30720
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc..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

Omar Fernando Dominguez M.d. 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 ID4789046079
PECOS Enrollment IDI20230818000194
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 Reassignment

Medicare enrollment records show Omar Dominguez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hamilton Medical Center, Inc.
Same address
General Acute Care Hospital
1200 MEMORIAL DR
Dalton, GA 30720
  • Reassigned Medicare billing, Georgia enrollment
  • 236 clinicians in this Medicare group
NPI 1528056066 (706) 272-6000

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 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
356 services153 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
87 services83 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
82 services78 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
38 services38 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
23 services17 patients

Hospital Affiliations CMS Care Compare

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

Hamilton Medical Center

Acute Care Hospitals · Dalton, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110001
Location1200 Memorial DriveDalton, GA 30720 · Whitfield County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30720 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 8

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

MR. ABDULMOIZ HATEM ABDULKAREEM AL-JAFARI M.D.
Student in an Organized Health Care Education/Training Program
1200 MEMORIAL DRIVE
DALTON, GA 30720
Whitfield County (706) 226-8990
DR. STEWART SCRUGGS MD
Anesthesiology
1200 MEMORIAL DRIVE
DALTON, GA 30720
Whitfield County (205) 977-1949
JERRY ALAN SWENSON CRNA
Nurse Anesthetist, Certified Registered
1200 MEMORIAL DRIVE, ANESTHESIA ASSOCIATES OF DALTON
DALTON, GA 30720
Whitfield County (706) 272-6000
MISS RASHA NASRI MD
Student in an Organized Health Care Education/Training Program
1200 MEMORIAL DRIVE
DALTON, GA 30720
Whitfield County (706) 272-6132
HARPREET GOSAL M.D.
Student in an Organized Health Care Education/Training Program
1200 MEMORIAL DRIVE
DALTON, GA 30720
Whitfield County (706) 272-6000
DR. EKTABEN M PATEL MD
Internal Medicine
1200 MEMORIAL DRIVE
DALTON, GA 30720
Whitfield County (706) 272-6000
JOSEPH FULTON CRNA
Nurse Anesthetist, Certified Registered
1200 MEMORIAL DRIVE
DALTON, GA 30720
Whitfield County (205) 977-1949
DR. LAURA CONGER-MOORE M.D.
Hospitalist
1200 MEMORIAL DRIVE
DALTON, GA 30720
Whitfield County (706) 272-6876

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 Omar Dominguez's NPI number?

The NPI number for Omar Dominguez is 1689294803. It was assigned to this individual provider in the NPPES registry on April 17, 2020.

Where is Omar Dominguez located?

Omar Dominguez practices at 1200 Memorial Drive Hamilton Medical Center, Attn: Residency Program, Dalton, GA 30720. The listed phone number is (706) 272-6132.

What is Omar Dominguez's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Omar Dominguez enrolled in Medicare?

Yes. Omar 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 Omar Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Omar Dominguez reassigns Medicare benefits to Hamilton Medical Center, Inc. (Dalton, GA). 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 Omar Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Omar Dominguez accept?

Health plans from Alliant Health Plans, Inc. list Omar 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 Omar Dominguez affiliated with any hospitals?

According to CMS data, Omar Dominguez is affiliated with Hamilton Medical Center.

When was this NPI record last updated?

The NPPES record for Omar Dominguez was last updated on August 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.