DOMINIK WILKIEWICZ MD
NPI 1972187730
Family Medicine in Las Vegas, NV

Q: What is Dominik Wilkiewicz's NPI number?

The NPI number for Dominik Wilkiewicz is 1972187730. It was assigned to this individual provider in the NPPES registry on May 7, 2021.

Q: What is Dominik Wilkiewicz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 07, 2021PECOS EnrolledAccepts Medicare Assignment

6170 N DURANGO DR STE 130, LAS VEGAS, NV 89149(702) 940-1550(702) 940-1551 Get Directions Write a Review

NPPES record last updated: September 3, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 3, 2024, May 7, 2021 (2 updates tracked since 2021).

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About Dominik Wilkiewicz Md NPPES

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

DOMINIK WILKIEWICZ MD (NPI 1972187730) is an individual family medicine provider in Las Vegas, Nevada, licensed in Nevada (25970) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Burton, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1972187730

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDOMINIK WILKIEWICZCredential: MD

Location Address6170 N DURANGO DR STE 130Las Vegas, NV 89149-3923

Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346 · Fax (702) 671-6883

Phone(702) 940-1550

Fax(702) 940-1551

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateMay 7, 2021

Last NPPES UpdateSeptember 3, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2024

✔ NPI 1972187730 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Licenses✔ Licensed in NV · 25970✔ Licensed in MI · 4351048104

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

6170 N DURANGO DR STE 130, Las Vegas, NV 89149

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Secondary Practice Location 1

Location 11460 N Center RdBurton, MI 48509-1429 · Phone (810) 715-4300

Other Identifiers 2

Other25970NV · State License

Medicaid1972187730NV

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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

Dominik Wilkiewicz 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 ID4880099829

PECOS Enrollment IDI20240808004263

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 2

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

31 services25 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89149 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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 5

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

KATRINA WONG DO

Family Medicine