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ODEILIS MAXIEL DOMINGUEZ AMADIZ MD
NPI 1821519331
Pediatrics - Developmental - Behavioral Pediatrics in Bronx, NY

Active since July 06, 2017PECOS Enrolled
234 E 149TH ST, BRONX, NY 10451(718) 579-5000 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2023, Jul 6, 2017 (2 updates tracked since 2017).

About Odeilis Maxiel Dominguez Amadiz Md NPPES

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

ODEILIS MAXIEL DOMINGUEZ AMADIZ MD (NPI 1821519331) is an individual developmental - behavioral pediatrics provider in Bronx, New York, licensed in New Jersey (25MA10860700) and active in the NPI registry since July 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821519331
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameODEILIS MAXIEL DOMINGUEZ AMADIZCredential: MD
Location Address234 E 149TH STBronx, NY 10451-5504
Mailing Address234 E 149th StBronx, NY 10451-5504 · (718) 579-5000
Phone(718) 579-5000
Sole ProprietorNo
Enumeration DateJuly 6, 2017
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
✔ NPI 1821519331 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License✔ Licensed in NJ · 25MA10860700
Definition
A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
234 E 149TH ST, Bronx, NY 10451
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Odeilis Maxiel Dominguez Amadiz 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.

Medicare Billing Reassignment

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

Children's Specialized Hospital
36 mi
Children
200 SOMERSET ST
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 127 clinicians in this Medicare group
NPI 1396886297 (732) 258-7000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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. THOMAS HENRY PARRY M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-6010
MAIRA FONSECA
Dermatology
234 E 149TH ST
BRONX, NY 10451
Bronx County (212) 639-3210
DR. RO GONSALVES M.D.
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JONATHAN V LI MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
ZULEYKA A GRULLON LCSW
Social Worker (Clinical)
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
JOSHUA RONALD GRAVEL MD, MSC
Emergency Medicine
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
REBEKAH SNITKOFF
Physician Assistant
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000
MR. CARLOS ESTEBAN NARVAEZ MD
Student in an Organized Health Care Education/Training Program
234 E 149TH ST
BRONX, NY 10451
Bronx County (718) 579-5000

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 Odeilis Dominguez Amadiz's NPI number?

The NPI number for Odeilis Dominguez Amadiz is 1821519331. It was assigned to this individual provider in the NPPES registry on July 6, 2017.

Where is Odeilis Dominguez Amadiz located?

Odeilis Dominguez Amadiz practices at 234 E 149th St, Bronx, NY 10451. The listed phone number is (718) 579-5000.

What is Odeilis Dominguez Amadiz's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Developmental - Behavioral Pediatrics, with taxonomy code 2080P0006X.

Is Odeilis Dominguez Amadiz enrolled in Medicare?

Yes. Odeilis Dominguez Amadiz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Odeilis Dominguez Amadiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Odeilis Dominguez Amadiz reassigns Medicare benefits to Children's Specialized Hospital (New Brunswick, NJ). 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 Odeilis Dominguez Amadiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Odeilis Dominguez Amadiz accept?

Health plans from Oscar Health list Odeilis Dominguez Amadiz 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 Odeilis Dominguez Amadiz was last updated on June 20, 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.