CARLOS L DOMINGUEZ MD PA
NPI 1730452970
Internal Medicine in Deltona, FL
About Carlos L Dominguez Md Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS L DOMINGUEZ MD PA (NPI 1730452970) is a healthcare organization registered as an internal medicine in Deltona, Florida and active in the NPI registry since February 2012. The organization lists Carlos L Dominguez, Owner/president, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carlos L Dominguez Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Carlos L Dominguez MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Carlos L Dominguez MD PA's NPI number?
The NPI number for Carlos L Dominguez MD PA is 1730452970. It was assigned to this organization in the NPPES registry on February 20, 2012.
Where is Carlos L Dominguez MD PA located?
Carlos L Dominguez MD PA is located at 1857 Providence Blvd, Deltona, FL 32725. The listed phone number is (386) 789-8544.
What is Carlos L Dominguez MD PA's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Carlos L Dominguez MD PA enrolled in Medicare?
Yes. Carlos L Dominguez MD PA is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Carlos L Dominguez MD PA?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Carlos L Dominguez MD PA, in Internal Medicine and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Carlos L Dominguez MD PA was last updated on February 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Carlos L Dominguez Md Pa · NPI 1730452970
Internal Medicine organization in Deltona, Florida. Organization record, active in the CMS NPPES registry since February 20, 2012.
## Identity
- **NPI:** 1730452970 (Entity type: Organization)
- **Enumerated:** February 20, 2012
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Carlos Dominguez, OWNER/PRESIDENT
## Practice location
- **Address:** 1857 PROVIDENCE BLVD, Deltona, FL 32725-3811
- **Phone:** (386) 789-8544 · **Fax:** (386) 951-4809
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 20, 2012
- **Other identifiers:** Medicare PIN 32987A (FL); Medicaid 252750200 (FL)
---
Source: [NPI Profile](https://npiprofile.com/npi/1730452970) · Data from the CMS NPPES public registry.