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OBDELIS DOMINGUEZ
NPI 1912634163
Nurse Practitioner - Family in Miami, FL

Active since August 05, 2022PECOS EnrolledAccepts Medicare Assignment
2860 SW 133RD CT, MIAMI, FL 33175(786) 447-2902 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Jul 9, 2025, Aug 5, 2022 (2 updates tracked since 2022).

About Obdelis Dominguez NPPES

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

OBDELIS DOMINGUEZ (NPI 1912634163) is an individual family provider in Miami, Florida, licensed in Florida (APRN11021188) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Westside Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1912634163
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameOBDELIS DOMINGUEZ
Location Address2860 SW 133RD CTMiami, FL 33175-7133
Mailing Address2860 Sw 133rd CtMiami, FL 33175-7133 · (786) 447-2902
Phone(786) 447-2902
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 5, 2022
Last NPPES UpdateJuly 9, 20252 updates tracked since enumeration
NPPES CertifiedJuly 9, 2025
✔ NPI 1912634163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in FL · APRN11021188
2860 SW 133RD CT, Miami, FL 33175
Open in Google Maps ↗

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Obdelis Dominguez 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 ID6103282652
PECOS Enrollment IDI20230525001781
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Westside Regional Medical Center

Acute Care Hospitals · Plantation, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100228
Location8201 W Broward BlvdPlantation, FL 33324 · Broward County

Hendry Regional Medical Center

Critical Access Hospitals · Clewiston, FL
OwnershipVoluntary non-profit - Other
CMS Certification Number101309
Location524 W Sagamore AveClewiston, FL 33440 · Hendry County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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

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

OD VITALITY LLC
Nurse Practitioner
2860 SW 133RD CT
MIAMI, FL 33175
Miami-Dade County (786) 447-2902

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 Obdelis Dominguez's NPI number?

The NPI number for Obdelis Dominguez is 1912634163. It was assigned to this individual provider in the NPPES registry on August 5, 2022.

Where is Obdelis Dominguez located?

Obdelis Dominguez practices at 2860 SW 133rd Ct, Miami, FL 33175. The listed phone number is (786) 447-2902.

What is Obdelis Dominguez's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Obdelis Dominguez enrolled in Medicare?

Yes. Obdelis 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.

What insurance does Obdelis Dominguez accept?

Health plans from Oscar Health Maintenance Organization of Florida list Obdelis 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.

Is Obdelis Dominguez affiliated with any hospitals?

According to CMS data, Obdelis Dominguez is affiliated with Westside Regional Medical Center and Hendry Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Obdelis Dominguez was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.