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BREANNA DOMINGUEZ MD
NPI 1700467552
Surgery in Dayton, OH

Active since April 14, 2021PECOS Enrolled
1 WYOMING ST, DAYTON, OH 45409(937) 208-8000 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 26, 2022, Apr 14, 2021 (2 updates tracked since 2021).

About Breanna Dominguez Md NPPES

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

BREANNA DOMINGUEZ MD (NPI 1700467552) is an individual surgery provider in Dayton, Ohio, licensed in Ohio (57.253296) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1700467552
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameBREANNA DOMINGUEZCredential: MD
Location Address1 WYOMING STDayton, OH 45409-2722
Mailing Address128 East Apple Street, Weber 7th FloorDayton, OH 45409
Phone(937) 208-8000
Sole ProprietorNo
Enumeration DateApril 14, 2021
Last NPPES UpdateMay 26, 20222 updates tracked since enumeration
NPPES CertifiedMay 2, 2022
✔ NPI 1700467552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 57.253296
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.
1 WYOMING ST, Dayton, OH 45409
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Breanna Dominguez Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

DANIEL NGUYEN
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3882
KATHY WAYMIRE CRNA
Nurse Anesthetist, Certified Registered
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (800) 394-4445
DR. RORY JON PEPPARD M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1 WYOMING ST, NEONATOLOGY OFFICE
DAYTON, OH 45409
Montgomery County (937) 208-2907
DR. DANIEL PHILLIP PITSTICK D.O.
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3356
DR. WILLIAM R. MARRIOTT M.D.
Emergency Medicine
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (513) 281-4400
MIAMI VALLEY HOSPITAL
Psychiatric Unit
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-8000
LEILA CONSTANCE TOU
Student in an Organized Health Care Education/Training Program
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-2866
DR. JARED COTTINGIM RPH
Pharmacist
1 WYOMING ST
DAYTON, OH 45409
Montgomery County (937) 208-3195

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 Breanna Dominguez's NPI number?

The NPI number for Breanna Dominguez is 1700467552. It was assigned to this individual provider in the NPPES registry on April 14, 2021.

Where is Breanna Dominguez located?

Breanna Dominguez practices at 1 Wyoming St, Dayton, OH 45409. The listed phone number is (937) 208-8000.

What is Breanna Dominguez's specialty?

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

Is Breanna Dominguez enrolled in Medicare?

Yes. Breanna Dominguez is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Breanna Dominguez was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.