DR. MAYA JANAY DOMINIQUE M.D.
NPI 1942658497
Obstetrics & Gynecology in Merrillville, IN

Q: What is Maya Dominique's NPI number?

The NPI number for Maya Dominique is 1942658497. It was assigned to this individual provider in the NPPES registry on May 25, 2016.

Q: What is Maya Dominique's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Maya Dominique was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since May 25, 2016PECOS EnrolledAccepts Medicare Assignment

6091 BROADWAY, MERRILLVILLE, IN 46410(219) 763-8112(219) 884-2547 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 10, 2026, Jul 27, 2020, May 19, 2020 and 2 more (5 updates tracked since 2016).

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About Dr. Maya Janay Dominique M.d. NPPES

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

DR. MAYA JANAY DOMINIQUE M.D. (NPI 1942658497) is an individual obstetrics & gynecology provider in Merrillville, Indiana, licensed in Indiana (01083909A) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1942658497

Entity TypeIndividualFemale

Primary Taxonomy207V00000X

Provider Legal NameDR. MAYA JANAY DOMINIQUECredential: M.D.

Location Address6091 BROADWAYMerrillville, IN 46410-2619

Mailing AddressPo Box 1430Portage, IN 46368-9230 · (219) 763-8112 · Fax (219) 764-5380

Phone(219) 763-8112

Fax(219) 884-2547

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateMay 25, 2016

Last NPPES UpdateMarch 10, 20265 updates tracked since enumeration

NPPES CertifiedMarch 10, 2026

✔ NPI 1942658497 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in IN · 01083909A

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6091 BROADWAY, Merrillville, IN 46410

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Secondary Practice Locations 2

Location 12001 W 86th StIndianapolis, IN 46260-1902 · Phone (317) 415-7921

Location 23500 Franciscan Way Ste 300Michigan City, IN 46360-0033 · Phone (219) 861-8785 · Fax (219) 861-8789

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Maya Janay Dominique M.d. 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 ID446672596

PECOS Enrollment IDI20200619000418

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46410 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

$122.49 typical visit price

range $53.07 – $161.76

Typical copayment $30.62 (range $13.26 – $40.44)

Most-billed visit code 99204

Established Patient

$66.48 typical visit price

range $16.93 – $132.22

Typical copayment $16.62 (range $4.23 – $33.05)

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.

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.

NORTHSHORE HEALTH CENTERS, INC.

Clinic/Center (Federally Qualified Health Center (FQHC))