DR. LUIS AUGUSTO DOMINGUEZ VALLEJOS (MD) – Internal Medicine Physician, NPI 1194041582
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
Provider Addresses for DR. LUIS AUGUSTO DOMINGUEZ VALLEJOS (MD)
PO BOX 863407
ORLANDO, FL 328863407
Phone: (941) 917-2600
Fax: (941) 917-7884
Type: Mailing
1700 S TAMIAMI TRL
SARASOTA, FL 342393509
Phone: (941) 917-4896
Fax: (941) 917-6884
Type: Location
800 E Dawson St
Tyler, TX 757012036
Phone: (903) 606-7264
Type: Location
1324 Lakeland Hills Blvd
Lakeland, FL 338054543
Phone: (863) 687-1321
Fax: (863) 603-6534
Type: Location
Lakeland Regional Health Medical Center, 1324, Lakeland Hills Boulevard, Lakeland, Polk County, Florida, 33805, United States
MANAGED CARE DEPT
LAKELAND, FL 33805
Phone: (863) 687-1100
Type: Mailing
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: 2026-01-31
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20131204001733 | I | Emergency Medicine | TX | TBD |
| I20150723007903 | I | Internal Medicine | FL | TBD |
| I20260131000096 | I | Hospitalist | SC | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 77 | 75 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 38 | 15 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 28 | 28 | $0 |
Insurance plans in this area (ZIP 32886)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Hospitalist, Internal Medicine | NY | |
| Internal Medicine, Hospitalist | SC | |
| Hospitalist, Internal Medicine | NC | |
| H O S P I T A L I S T | GA | |
| Internal Medicine | SC | |
| Internal Medicine | SC | |
| Internal Medicine | TN | |
| Hospitalist, Family Practice | IL | |
| Internal Medicine, Hospitalist, Internal Medicine | NC | |
| Internal Medicine, Hospitalist | NJ |
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