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DR. DOMINIC DIDOMENICO D.O.
NPI 1831622000
Emergency Medicine in Tampa, FL

Active since April 05, 2017PECOS Enrolled
17 DAVIS BLVD, SUITE 308, TAMPA, FL 33606(813) 627-5931 Get Directions Write a Review

NPPES record last updated: July 27, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dominic Didomenico D.o. NPPES

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

DR. DOMINIC DIDOMENICO D.O. (NPI 1831622000) is an individual emergency medicine provider in Tampa, Florida, licensed in New Mexico (A-2384-20) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1831622000
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DOMINIC DIDOMENICOCredential: D.O.
Location Address17 DAVIS BLVD, SUITE 308Tampa, FL 33606-3475
Mailing AddressHealthfront, Pc, 1640 Old Pecos Trail, Suite HSanta Fe, NM 87505 · (505) 992-0233 · Fax (505) 992-0609
Phone(813) 627-5931
Sole ProprietorNo
Enumeration DateApril 5, 2017
Last NPPES UpdateJuly 27, 2020
NPPES CertifiedJuly 27, 2020
✔ NPI 1831622000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NM · A-2384-20
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
17 DAVIS BLVD, Tampa, FL 33606
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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)

Dr. Dominic Didomenico D.o. 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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
481 services457 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
295 services282 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
112 services111 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
93 services92 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33606 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers21 claims21 services$17.11 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers23 claims23 services$88.75 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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. ADAM FUSICK M.D.
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2805
CHRISTOPHER MICHAEL DECLUE MD
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Hillsborough County (813) 844-3552
ERIC ARMANDO QUINTERO
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Hillsborough County (813) 250-2506
CAITLIN CROWGEY
Psychiatry & Neurology (Psychiatry)
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Hillsborough County (813) 974-2805
CARINA RODRIGUEZ MD
Pediatrics (Pediatric Infectious Diseases)
17 DAVIS BLVD
TAMPA, FL 33606
Hillsborough County (727) 767-4160
MEGAN CALABRESE TYLER
Emergency Medicine
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Hillsborough County (813) 627-5931
CHARLES GILLEY DO
Student in an Organized Health Care Education/Training Program
17 DAVIS BLVD
TAMPA, FL 33606
Hillsborough County (813) 844-7000
SEN LU M.D., M.P.H.
Radiology (Diagnostic Radiology)
17 DAVIS BLVD, SUITE 308
TAMPA, FL 33606
Hillsborough County (813) 259-8515

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 Dominic Didomenico's NPI number?

The NPI number for Dominic Didomenico is 1831622000. It was assigned to this individual provider in the NPPES registry on April 5, 2017.

Where is Dominic Didomenico located?

Dominic Didomenico practices at 17 Davis Blvd Suite 308, Tampa, FL 33606. The listed phone number is (813) 627-5931.

What is Dominic Didomenico's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Dominic Didomenico enrolled in Medicare?

Yes. Dominic Didomenico is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Dominic Didomenico was last updated on July 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.