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LOUIS DOMENICO JR. MD
NPI 1942380902
Radiology - Vascular & Interventional Radiology in Philadelphia, PA

Active since October 16, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2412-14 WEST PASSYUNK AVENUE, PHILADELPHIA, PA 19145(215) 462-2100(215) 462-3100 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 18, 2021, Nov 10, 2016, Feb 4, 2016 (3 updates tracked since 2016).

About Louis Domenico Jr. Md NPPES

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

LOUIS DOMENICO JR. MD (NPI 1942380902) is an individual vascular & interventional radiology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD426532) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York At Buffalo School Of Medicine (2000).

NPPES Registry Identity

NPI1942380902
Entity TypeIndividualMale
Primary Taxonomy2085R0204X
Provider Legal NameLOUIS DOMENICO JR.Credential: MD
Location Address2412-14 WEST PASSYUNK AVENUEPhiladelphia, PA 19145-4114
Mailing AddressPo Box 416147Boston, MA 02241-6147 · (610) 644-8900 · Fax (484) 924-0053
Phone(215) 462-2100
Fax(215) 462-3100
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 2000
Enumeration DateOctober 16, 2006
Last NPPES UpdateFebruary 18, 20213 updates tracked since enumeration
NPPES CertifiedFebruary 18, 2021
✔ NPI 1942380902 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Licenses✔ Licensed in PA · MD426532✔ Licensed in NJ · 25MA08328500
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X · License MD426532 (PA), 25MA08328500 (NJ)
2412-14 WEST PASSYUNK AVENUE, Philadelphia, PA 19145
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Other Identifiers 3

Medicaid1017778250003PA
OtherP00823218NJ · Railroad Medicare
Medicaid0157562NJ

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

Louis Domenico Jr. Md 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 ID7113953415
PECOS Enrollment IDI20061221000007
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 11

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.

Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist 36902
This procedure involves inserting a needle or tube into your hemodialysis circuit, a system that cleans your blood when your kidneys can't. A balloon is then used to widen a narrow section of this circuit. A radiologist reviews the procedure to ensure accuracy.
100 services86 patients
Fluoroscopic guidance for insertion or removal of central vein access device 77001
Fluoroscopic guidance for central vein access device insertion or removal is a procedure where a special X-ray, called a fluoroscope, is used to help accurately place or remove a device in a central vein. This device aids in delivering medications or collecting blood samples.
49 services41 patients
Replacement of tunneled central venous tube 36581
A tunneled central venous tube replacement is a procedure where an existing tube, used to deliver medication or nutrition directly to a large vein, is replaced. This is done under local anesthesia and involves inserting a new tube through a small incision.
42 services34 patients
Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube 36905
This procedure involves eliminating a blood clot in your hemodialysis circuit, ensuring smooth blood flow. A balloon tube is used to widen the dialysis segment if needed. Images are taken and reviewed by a radiologist to confirm successful completion.
39 services34 patients
Balloon dilation of dialysis segment with review by radiologist 36907
Balloon dilation of a dialysis segment is a procedure where a tiny balloon is inserted and inflated in a narrowed area of your dialysis access site, improving blood flow. A radiologist reviews images to ensure success.
28 services23 patients
Removal of tunneled central venous tube 36589
A tunneled central venous tube removal is a procedure to take out a long, thin tube that was previously placed in a large vein in your body. This tube helps deliver medication or nutrition. The removal is usually quick and done under local anesthesia.
27 services27 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19145 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality91.88
Improvement Activities40

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 Louis Domenico's NPI number?

The NPI number for Louis Domenico is 1942380902. It was assigned to this individual provider in the NPPES registry on October 16, 2006.

Where is Louis Domenico located?

Louis Domenico practices at 2412-14 West Passyunk Avenue, Philadelphia, PA 19145. The listed phone number is (215) 462-2100.

What is Louis Domenico's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is Louis Domenico enrolled in Medicare?

Yes. Louis Domenico 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.

When was this NPI record last updated?

The NPPES record for Louis Domenico was last updated on February 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.