ERICKA KAY DOMALAKES (M.D.) – Obstetrics Physician, NPI 1619294998
Obstetrics Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
382 OBSTETRICS/GYNECOLOGY in KS
Provider Addresses for ERICKA KAY DOMALAKES (M.D.)
9100 W 74TH ST
MERRIAM, KS 662044004
Phone: (913) 676-2694
Fax: (913) 676-6859
Type: Location
1000 S DENVER AVE
APT 2909
TULSA, OK 741199800
Phone:
Type: Mailing
4502 E 41ST ST
TULSA, OK 741359923
Phone: (402) 690-7234
Type: Location
9435 BELINDER RD
LEAWOOD, KS 662061819
Phone: (918) 388-7319
Type: Mailing
551 N HILLSIDE ST STE 330
WICHITA, KS 672144926
Phone: (316) 962-7188
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $60.
Total Amount is formed as General ($60) + Research ($0) + Ownership ($0) = $60.
Last reported payment date: 2024-12-12 • Largest payer in this snapshot: Medtronic, Inc. ($41).
Total Amount
$60
General + Research + Ownership
Payments
2
Total payment records
General Amount
$60
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $41 |
| Dexcom, Inc. | $19 |
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: 2016-02-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160226001364 | I | Obstetrics/Gynecology | KS | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 66204)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | KS | |
| Family Practice | NC | |
| Nurse Practitioner | KS | |
| - | KS | |
| Physician Assistant | KS | |
| Nurse Practitioner | KS | |
| - | KS | |
| Internal Medicine | KS | |
| Nurse Practitioner | KS | |
| Cardiovascular Disease (Cardiology) | KS |
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