GABRIEL JOSE DOMINGUEZ-PANTOJA – Emergency Medicine Physician, NPI 1154784304

GABRIEL JOSE DOMINGUEZ-PANTOJA is a healthcare provider. based in Little rock, Arkansas. specializing in EMERGENCY MEDICINE. They hold a License No. E-11820 (AR). The NPI Number for GABRIEL JOSE DOMINGUEZ-PANTOJA is 1154784304

Main info

Male
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
GABRIEL JOSE DOMINGUEZ-PANTOJA
NPI
1154784304
Phone
(501) 686-5356
Address
4301 west markham, slot 584
Enumeration Date
4 April 2016
Last Update Date
14 June 2019

Doctor Profile

Medical School Name
BALTIMORE MEDICAL COLLEGE
Secondary Phone
4073032200
Graduation Year
2016 (10 years ago)
PAC ID
6204169352
Group Practice PAC ID
0143113878
Professional Enrollment ID
I20190826000955
Address ID
FL327014802AL601XXDRXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience48
Completeness75
Years active:10State licenses:2Digital endpointsOther names

557 EMERGENCY MEDICINE in AR

Provider Addresses for GABRIEL JOSE DOMINGUEZ-PANTOJA

  • 4301 west markham, slot 584

    little rock, AR 722057199

    Phone: (501) 686-5356

    Type: Location

  • 111 S MCKINLEY ST APT 4311

    LITTLE ROCK, AR 722052069

    Phone: (989) 429-3177

    Type: Mailing

  • Florida Hospital Altamonte, 601, East Altamonte Drive, Altamonte Springs, Seminole County, Florida, 32701, United States

    ALTAMONTE SPRINGS, FL 327014802

    Phone: (407) 303-2200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-08-26

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190826000955IEmergency MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99285Emergency department visit with high level of medical decision making136133$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only7266$0
99284Emergency department visit with moderate level of medical decision making4443$0
99291Critical care, first 30-74 minutes2222$0
View full utilization report →

Insurance plans in this area (ZIP 72205)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0143113878View full group profile

Reviews

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Frequently asked questions

Does GABRIEL JOSE DOMINGUEZ-PANTOJA share an NPI with anyone else?
NPI numbers are unique to each provider or organization — GABRIEL JOSE DOMINGUEZ-PANTOJA uses 1154784304.
Is GABRIEL JOSE DOMINGUEZ-PANTOJA still practicing?
GABRIEL JOSE DOMINGUEZ-PANTOJA is currently listed as active in the public NPI registry.
What is GABRIEL JOSE DOMINGUEZ-PANTOJA's primary classification?
Emergency Medicine Physician is the headline specialty for GABRIEL JOSE DOMINGUEZ-PANTOJA here. Clinical services aligned with this taxonomy classification.
Where should I expect GABRIEL JOSE DOMINGUEZ-PANTOJA on a map?
Expect Little Rock, Arkansas as a primary anchor for GABRIEL JOSE DOMINGUEZ-PANTOJA unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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