1. Home
  2. Directory
  3. Texas
  4. Dallas
  5. Pediatrics
  6. NPI Profile

DR. LUIS FERNANDO SIFUENTES-DOMINGUEZ M.D.
NPI 1740508928
Pediatrics - Pediatric Gastroenterology in Dallas, TX

Active since May 12, 2010PECOS Enrolled
74.59/100
CMS Quality Rating
5323 HARRY HINES BOULEVARD, DALLAS, TX 75390(214) 648-3903(214) 648-2481 Get Directions Write a Review

NPPES record last updated: August 10, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Luis Fernando Sifuentes-dominguez M.d. NPPES

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

DR. LUIS FERNANDO SIFUENTES-DOMINGUEZ M.D. (NPI 1740508928) is an individual pediatric gastroenterology provider in Dallas, Texas, licensed in Texas (P4613) and active in the NPI registry since May 2010. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740508928
Entity TypeIndividualMale
Primary Taxonomy2080P0206X
Provider Legal NameDR. LUIS FERNANDO SIFUENTES-DOMINGUEZCredential: M.D.
Location Address5323 HARRY HINES BOULEVARDDallas, TX 75390-7208
Mailing AddressP.o. Box 845347Dallas, TX 75284-5347 · (214) 648-3903 · Fax (214) 649-2481
Phone(214) 648-3903
Fax(214) 648-2481
Sole ProprietorNo
Enumeration DateMay 12, 2010
Last NPPES UpdateAugust 10, 2015
✔ NPI 1740508928 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0206X
License✔ Licensed in TX · P4613
Definition
A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5323 HARRY HINES BOULEVARD, Dallas, TX 75390
Open in Google Maps ↗

Other Identifiers 1

Other39CT · Student Healthcare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luis Fernando Sifuentes-dominguez M.d. 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 75390 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
$131.01 typical visit price
range $57.18 – $172.86
Typical copayment $32.75 (range $14.29 – $43.21)
Most-billed visit code 99204
Established Patient
$100.80 typical visit price
range $18.48 – $141.20
Typical copayment $25.20 (range $4.62 – $35.30)
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.

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.

74.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality56.12
Promoting Interoperability100
Improvement Activities40
Cost59.2

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.

DR. SANDEEP GUTTIKONDA MD
Emergency Medicine
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 648-3916
MS. STEPHANIE GAIL WEST CHESNUT AUD.
Audiologist
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 645-8898
MRS. SONEY ABRAHAM NP
Nurse Practitioner (Family)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 648-3916
MR. SIMON TIZIANI
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 648-3111
ALEX SUTTER MD
Student in an Organized Health Care Education/Training Program
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 648-3433
JACQUELINE TYRA CAIRE M.D.
Radiology (Diagnostic Radiology)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (469) 757-1000
SADIA MALIK MD
Pediatrics (Pediatric Cardiology)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 456-2533
SASAN MIRFAKHRAEE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
5323 HARRY HINES BOULEVARD
DALLAS, TX 75390
Dallas County (214) 645-2800

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 Luis Sifuentes-dominguez's NPI number?

The NPI number for Luis Sifuentes-dominguez is 1740508928. It was assigned to this individual provider in the NPPES registry on May 12, 2010.

Where is Luis Sifuentes-dominguez located?

Luis Sifuentes-dominguez practices at 5323 Harry Hines Boulevard, Dallas, TX 75390. The listed phone number is (214) 648-3903.

What is Luis Sifuentes-dominguez's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Gastroenterology, with taxonomy code 2080P0206X.

Is Luis Sifuentes-dominguez enrolled in Medicare?

Yes. Luis Sifuentes-dominguez is registered in the Medicare PECOS enrollment system.

What insurance does Luis Sifuentes-dominguez accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Luis Sifuentes-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.

When was this NPI record last updated?

The NPPES record for Luis Sifuentes-dominguez was last updated on August 10, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.