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DR. LOURDES M DOMINGUEZ M.D.
NPI 1932143369
Psychiatry & Neurology - Psychiatry in New York, NY

Active since June 15, 2006Opted out of Medicare · through Oct 12, 2026
ALLEN PAVILION 3 RIVER EAST, 5141 BROADWAY, NEW YORK, NY 10034(212) 932-4165(212) 932-5369 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Lourdes M Dominguez M.d. NPPES

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

DR. LOURDES M DOMINGUEZ M.D. (NPI 1932143369) is an individual psychiatry provider in New York, New York, licensed in New York (171839) and active in the NPI registry since June 2006. She has opted out of Medicare through October 12, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1932143369
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. LOURDES M DOMINGUEZCredential: M.D.
Location AddressALLEN PAVILION 3 RIVER EAST, 5141 BROADWAYNew York, NY 10034
Mailing AddressDept Of Psychiatry, Trustees Of Columbia University, 622 West 168th Street, Box 260New York, NY 10032 · (212) 305-2330 · Fax (212) 305-4724
Phone(212) 932-4165
Fax(212) 932-5369
Sole ProprietorNo
Enumeration DateJune 15, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1932143369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 171839
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
ALLEN PAVILION 3 RIVER EAST, New York, NY 10034
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Other Identifiers 3

Medicaid01589844NY
Medicare UPINE48962NY
Medicare ID-Type Unspecified59F281NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Lourdes M Dominguez M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 12, 2020 through October 12, 2026.

Opt-Out Effective DateOctober 12, 2020
Opt-Out In Effect ThroughOctober 12, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10034 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Lourdes Dominguez's NPI number?

The NPI number for Lourdes Dominguez is 1932143369. It was assigned to this individual provider in the NPPES registry on June 15, 2006.

Where is Lourdes Dominguez located?

Lourdes Dominguez practices at Allen Pavilion 3 River East 5141 Broadway, New York, NY 10034. The listed phone number is (212) 932-4165.

What is Lourdes Dominguez's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Lourdes Dominguez enrolled in Medicare?

No. Lourdes Dominguez has opted out of Medicare through October 12, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Lourdes Dominguez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.