DR. YASMANY DOMINGUEZ (DO) – Family Medicine Physician, NPI 1710493739

DR. YASMANY DOMINGUEZ (DO) is a healthcare provider. based in Jupiter, Florida. specializing in FAMILY PRACTICE. They hold the professional credentials DO. They hold a License No. UO5588 (FL). The NPI Number for DR. YASMANY DOMINGUEZ (DO) is 1710493739

Main info

Male
Sole Proprietor
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. YASMANY DOMINGUEZ (DO)
NPI
1710493739
Phone
Not provided
Address
302 ENNIS LN
Enumeration Date
28 December 2017
Last Update Date
24 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5614914666
Graduation Year
2017 (9 years ago)
PAC ID
4981032232
Group Practice PAC ID
8426113259
Professional Enrollment ID
I20200319001465
Address ID
FL334081612JU139014XXX500
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:8State licenses:2Digital endpointsOther names

6,722 FAMILY PRACTICE in FL

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Provider Addresses for DR. YASMANY DOMINGUEZ (DO)

  • 302, Ennis Lane, Jupiter, Palm Beach County, Florida, 33458, United States

    JUPITER, FL 334586506

    Phone:

    Type: Mailing

  • 1037, State Road 7, Polo Lakes Apartments, Royal Palm Beach, Palm Beach County, Florida, 33414, United States

    WELLINGTON, FL 334146138

    Phone: (561) 798-3030

    Type: Location

  • 13901 US HIGHWAY 1 STE 5

    JUNO BEACH, FL 334081612

    Phone: (561) 491-4666

    Fax: (561) 630-0312

    Type: Mailing

  • 1094 MILITARY TRL

    JUPITER, FL 334587021

    Phone: (561) 622-6111

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $299.

Total Amount is formed as General ($299) + Research ($0) + Ownership ($0) = $299.

Last reported payment date: 2024-12-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($127).

Total Amount

$299

General + Research + Ownership

Payments

12

Total payment records

General Amount

$299

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-04

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2020-03-19

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
I20200319001465IFamily PracticeFLTBD

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
99214Established patient office or other outpatient visit, 30-39 minutes178100$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4444$0
G0444Annual depression screening, 5 to 15 minutes3939$0
80053Blood test, comprehensive group of blood chemicals1717$0
80061Blood test, lipids (cholesterol and triglycerides)1515$0
View full utilization report →

Insurance plans in this area (ZIP 33458)

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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: 8426113259View full group profile

Reviews

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Frequently asked questions

Where can patients find DR. YASMANY DOMINGUEZ (DO)'s NPI?
You can confirm DR. YASMANY DOMINGUEZ (DO) with NPI 1710493739; it appears in the national provider directory.
Is DR. YASMANY DOMINGUEZ (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does DR. YASMANY DOMINGUEZ (DO) work in?
You can think of DR. YASMANY DOMINGUEZ (DO) as practicing within Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Does DR. YASMANY DOMINGUEZ (DO) practice in Florida?
You will see Jupiter, Florida on file for DR. YASMANY DOMINGUEZ (DO) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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