JOSE LUIS DOMINGUEZ (MD) – Internal Medicine Physician, NPI 1295835775
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,409 INTERNAL MEDICINE in GA
Provider Addresses for JOSE LUIS DOMINGUEZ (MD)
2121 FOUNTAIN DR STE A
SNELLVILLE, GA 300782900
Phone: (770) 736-3008
Type: Location
4517, Lavista Road, Tucker, DeKalb County, Georgia, 30084, United States
TUCKER, GA 300844208
Phone: (770) 723-1226
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 46 Open Payments records for all available years, with a total value of $917.
Total Amount is formed as General ($917) + Research ($0) + Ownership ($0) = $917.
Last reported payment date: 2024-12-03 • Largest payer in this snapshot: Lilly USA, LLC ($173).
Total Amount
$917
General + Research + Ownership
Payments
46
Total payment records
General Amount
$917
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-03
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $173 |
| PFIZER INC. | $143 |
| Abbott Laboratories | $115 |
| Dexcom, Inc. | $90 |
| Amgen Inc. | $67 |
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: 2011-04-04
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20110404000822 | I | Internal Medicine | GA | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 417 | 219 | $0 |
| 81002 | Urinalysis, manual test | 281 | 237 | $0 |
| G0442 | Annual alcohol misuse screening, 5 to 15 minutes | 280 | 280 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 276 | 189 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 242 | 242 | $0 |
Insurance plans in this area (ZIP 30078)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | GA | 82270 | Stool analysis for blood to screen for colon tumors | 34 | 34 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice, Emergency Medicine | GA |
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