MYLENA AVALOS DOMINGUEZ RD
NPI 1861970337
Dietitian, Registered in Tucson, AZ

Active since August 06, 2018Accepts Medicare Assignment
839 W CONGRESS ST, TUCSON, AZ 85745(520) 670-3909(520) 309-2560 Get Directions Write a Review

NPPES record last updated: March 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 6, 2025, Nov 1, 2019, Aug 6, 2018 (3 updates tracked since 2018).

About Mylena Avalos Dominguez Rd NPPES

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

MYLENA AVALOS DOMINGUEZ RD (NPI 1861970337) is an individual dietitian, registered in Tucson, Arizona, licensed in Arizona (86046227) and active in the NPI registry since August 2018. She is a graduate of Other (2013).

NPPES Registry Identity

NPI1861970337
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameMYLENA AVALOS DOMINGUEZCredential: RD
Location Address839 W CONGRESS STTucson, AZ 85745-2819
Mailing Address839 W Congress StTucson, AZ 85745-2819 · (520) 670-3909 · Fax (520) 309-2560
Fax(520) 309-2560
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 6, 2018
Last NPPES UpdateMarch 6, 20253 updates tracked since enumeration
NPPES CertifiedMarch 6, 2025
✔ NPI 1861970337 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in AZ · 86046227
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
839 W CONGRESS ST, Tucson, AZ 85745

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mylena Avalos Dominguez Rd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355695487
PECOS Enrollment IDI20191205001152

Medicare Billing Reassignment

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

Federally Qualified Health Center (FQHC)
839 W CONGRESS ST
Tucson, AZ 85745
  • Reassigned Medicare billing, Arizona enrollment
  • 464 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85745 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
$0.00 typical visit price
range $55.44 – $168.60
Typical copayment $0.00 (range $13.86 – $42.15)
Most-billed visit code NA
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

Internal Medicine
839 W CONGRESS ST
TUCSON, AZ 85745
Technician/Technologist (Optician)
839 W CONGRESS ST
TUCSON, AZ 85745
Dental Hygienist
839 W CONGRESS ST
TUCSON, AZ 85745
Dental Hygienist
839 W CONGRESS ST
TUCSON, AZ 85745
Advanced Practice Midwife
839 W CONGRESS ST
TUCSON, AZ 85745
Internal Medicine
839 W CONGRESS ST
TUCSON, AZ 85745
Chiropractor
839 W CONGRESS ST
TUCSON, AZ 85745
Pharmacist
839 W CONGRESS ST
TUCSON, AZ 85745

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 Mylena Dominguez's NPI number?

The NPI number for Mylena Dominguez is 1861970337. It was assigned to this individual provider in the NPPES registry on August 6, 2018.

Where is Mylena Dominguez located?

Mylena Dominguez practices at 839 W Congress St, Tucson, AZ 85745. The listed phone number is (520) 670-3909.

What is Mylena Dominguez's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Mylena Dominguez enrolled in Medicare?

Yes. Mylena Dominguez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Mylena Dominguez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mylena Dominguez reassigns Medicare benefits to El Rio Santa Cruz Neighborhood Health Center, Inc (Tucson, AZ). 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 Mylena Dominguez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mylena Dominguez accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Cigna HealthCare of Arizona, Inc and Oscar Health Plan, Inc. list Mylena 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 Mylena Dominguez was last updated on March 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.