JUSTIN DOMURAT NP
NPI 1871251090
Nurse Practitioner - Pediatrics in Greenbelt, MD

Active since December 05, 2021PECOS EnrolledAccepts Medicare Assignment
7401 GREENBELT RD, GREENBELT, MD 20770(301) 982-5437 Get Directions Write a Review

NPPES record last updated: December 5, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Justin Domurat Np NPPES

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

JUSTIN DOMURAT NP (NPI 1871251090) is an individual pediatrics provider in Greenbelt, Maryland, licensed in Washington (61214691) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1871251090
Entity TypeIndividualMale
Primary Taxonomy363LP0200X
Provider Legal NameJUSTIN DOMURATCredential: NP
Location Address7401 GREENBELT RDGreenbelt, MD 20770-3402
Mailing Address1 Hollow Ln Ste 301New Hyde Park, NY 11042-1215 · (516) 869-0650
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 5, 2021
NPPES CertifiedDecember 5, 2021
✔ NPI 1871251090 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · PediatricsPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0200X
License✔ Licensed in WA · 61214691
7401 GREENBELT RD, Greenbelt, MD 20770

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

Justin Domurat Np 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 ID1456710946
PECOS Enrollment IDI20230630001107
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 Justin Domurat reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialist
4800 SAND POINT WAY NE
Seattle, WA 98105
  • Reassigned Medicare billing, Washington enrollment
  • Medicare enrollment name: Seattle Childrens Hospital
  • 912 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 20770 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pediatrics
7401 GREENBELT RD
GREENBELT, MD 20770
Nurse Practitioner (Pediatrics)
7401 GREENBELT RD
GREENBELT, MD 20770
Nurse Practitioner (Pediatrics)
7401 GREENBELT RD
GREENBELT, MD 20770
Nurse Practitioner (Pediatrics)
7401 GREENBELT RD
GREENBELT, MD 20770
Clinic/Center (Urgent Care)
7401 GREENBELT RD
GREENBELT, MD 20770
Pediatrics
7401 GREENBELT RD, PM PEDIATRICS
GREENBELT, MD 20770
Pediatrics
7401 GREENBELT RD
GREENBELT, MD 20770
Nurse Practitioner (Pediatrics)
7401 GREENBELT RD
GREENBELT, MD 20770

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 Justin Domurat's NPI number?

The NPI number for Justin Domurat is 1871251090. It was assigned to this individual provider in the NPPES registry on December 5, 2021.

Where is Justin Domurat located?

Justin Domurat practices at 7401 Greenbelt Rd, Greenbelt, MD 20770. The listed phone number is (301) 982-5437.

What is Justin Domurat's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.

Is Justin Domurat enrolled in Medicare?

Yes. Justin Domurat 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 Justin Domurat's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Justin Domurat reassigns Medicare benefits to Seattle Children's Hospital (Seattle, WA). 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 Justin Domurat's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Justin Domurat accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Justin Domurat 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 Justin Domurat was last updated on December 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.