MR. MICHAEL A DOMINO PA-C
NPI 1689837916
Physician Assistant in Albuquerque, NM
About Mr. Michael A Domino Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. MICHAEL A DOMINO PA-C (NPI 1689837916) is an individual physician assistant in Albuquerque, New Mexico, licensed in New Mexico (PA2008-0031) and active in the NPI registry since July 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mr. Michael A Domino Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 87102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
ALBUQUERQUE, NM 87102
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 Michael Domino's NPI number?
The NPI number for Michael Domino is 1689837916. It was assigned to this individual provider in the NPPES registry on July 7, 2008.
Where is Michael Domino located?
Michael Domino practices at 505 Elm St NE, Albuquerque, NM 87102. The listed phone number is (505) 238-2027.
What is Michael Domino's specialty?
The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.
Is Michael Domino enrolled in Medicare?
Yes. Michael Domino is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Michael Domino was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Mr. Michael A Domino, PA-C · NPI 1689837916
Physician Assistant physician in Albuquerque, New Mexico. Individual provider, active in the CMS NPPES registry since July 7, 2008.
## Identity
- **NPI:** 1689837916 (Entity type: Individual)
- **Enumerated:** July 7, 2008
- **Primary specialty:** Physician Assistant · taxonomy 363A00000X
- **State license:** PA2008-0031 (New Mexico)
- **Sole proprietor:** No
## Practice location
- **Address:** 505 ELM ST NE, Albuquerque, NM 87102-2500
- **Phone:** (505) 238-2027
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 5, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1689837916) · Data from the CMS NPPES public registry.