1. Home
  2. Directory
  3. Alabama
  4. Daphne
  5. Internal Medicine
  6. NPI Profile

DONATO G DUMLAO MD
NPI 1972593457
Internal Medicine - Hospice and Palliative Medicine in Daphne, AL

Active since October 25, 2005PECOS EnrolledAccepts Medicare Assignment
81.49/100
CMS Quality Rating
29653 ANCHOR CROSS BLVD, DAPHNE, AL 36526(251) 625-6896(251) 625-6897 Get Directions Write a Review

NPPES record last updated: November 5, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Donato G Dumlao Md NPPES

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

DONATO G DUMLAO MD (NPI 1972593457) is an individual hospice and palliative medicine provider in Daphne, Alabama, licensed in Alabama (25803) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1972593457
Entity TypeIndividualMale
Primary Taxonomy207RH0002X
Provider Legal NameDONATO G DUMLAOCredential: MD
Location Address29653 ANCHOR CROSS BLVDDaphne, AL 36526-9594
Mailing Address29653 Anchor Cross BlvdDaphne, AL 36526-9594 · (251) 625-6896 · Fax (251) 625-6897
Phone(251) 625-6896
Fax(251) 625-6897
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateOctober 25, 2005
Last NPPES UpdateNovember 5, 2012
✔ NPI 1972593457 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Hospice and Palliative MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RH0002X
License✔ Licensed in AL · 25803
Definition
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.
Also ListedPain Medicine · Pain MedicineTaxonomy 208VP0000X · License 25803 (AL)
29653 ANCHOR CROSS BLVD, Daphne, AL 36526
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINH48676NY
Medicare PIN510I110283AL
Medicare ID-Type Unspecified139SL1NY
Medicaid02710456NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and more.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

Donato G Dumlao 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 ID1153212634
PECOS Enrollment IDI20150706001604
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 8

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.
97 services41 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
79 services35 patients
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.
59 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
46 services26 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
37 services35 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
28 services22 patients

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.

81.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40
Cost38.3

Other Providers at the Same Location NPPES 14

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

BRITTANY HOLLEY CASE M.D.
Internal Medicine (Medical Oncology)
29653 ANCHOR CROSS BLVD
DAPHNE, AL 36526
Baldwin County (251) 625-6896
PROVIDENCE HEALTHCARE SERVICES
Obstetrics & Gynecology (Gynecologic Oncology)
29653 ANCHOR CROSS BLVD
DAPHNE, AL 36526
Baldwin County (251) 631-3490
DR. JOSEPH REECE JONES M.D.
Internal Medicine (Hematology & Oncology)
29653 ANCHOR CROSS BLVD
DAPHNE, AL 36526
Baldwin County (251) 625-6896
ANCHOR CROSS MEDICAL SOLUTIONS
Contractor
29653 ANCHOR CROSS BLVD
DAPHNE, AL 36526
Baldwin County (251) 625-6896
BETHANY KING CRNP
Nurse Practitioner (Family)
29653 ANCHOR CROSS BLVD
DAPHNE, AL 36526
Baldwin County (251) 625-6896
GULF COAST DERMATOLOGY AND SKIN CARE CENTRE PLLC
Dermatology
29653 ANCHOR CROSS BLVD
DAPHNE, AL 36526
Baldwin County (251) 631-3570
SOUTHERN CANCER CENTER, PC
Pharmacy
29653 ANCHOR CROSS BLVD, SUTIE A 101
DAPHNE, AL 36526
Baldwin County (251) 607-5061
VANTAGE CANCER CARE NETWORK OF ALABAMA, LLC
Internal Medicine (Medical Oncology)
29653 ANCHOR CROSS BLVD
DAPHNE, AL 36526
Baldwin County (251) 626-1755

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 Donato Dumlao's NPI number?

The NPI number for Donato Dumlao is 1972593457. It was assigned to this individual provider in the NPPES registry on October 25, 2005.

Where is Donato Dumlao located?

Donato Dumlao practices at 29653 Anchor Cross Blvd, Daphne, AL 36526. The listed phone number is (251) 625-6896.

What is Donato Dumlao's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hospice and Palliative Medicine, with taxonomy code 207RH0002X.

Is Donato Dumlao enrolled in Medicare?

Yes. Donato Dumlao 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 Donato Dumlao accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Oscar Health Plan, Inc. and UnitedHealthcare list Donato Dumlao 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.

When was this NPI record last updated?

The NPPES record for Donato Dumlao was last updated on November 5, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.