GUERDA DOMINIQUE (PA) – Physician Assistant, NPI 1124031174
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,365 PHYSICIAN ASSISTANT in MD
Provider Addresses for GUERDA DOMINIQUE (PA)
960 MASSACHUSETTS AVE STE 2
BOSTON, MA 021182690
Phone: (617) 414-4505
Type: Mailing
PO BOX 37174
BALTIMORE, MD 212973174
Phone: (571) 423-5699
Fax: (571) 423-5698
Type: Mailing
2434 W Belvedere Ave
Baltimore, MD 212155202
Phone: (410) 601-2246
Type: Location
900 23rd St NW
Washington, DC 200372342
Phone: (202) 715-4000
Type: Location
736 Cambridge St
Boston, MA 021352907
Phone: (617) 789-3000
Type: Location
11 NEVINS ST STE 306
BRIGHTON, MA 021353514
Phone: (617) 414-4505
Type: Location
Inova Schar Heart and Vascular, 3300, Gallows Road, Falls Church, Fairfax County, Virginia, 22042, United States
IHVI PA/NP OFFICE
FALLS CHURCH, VA 220423300
Phone: (703) 776-5574
Fax: (703) 776-2897
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $207.
Total Amount is formed as General ($207) + Research ($0) + Ownership ($0) = $207.
Last reported payment date: 2024-09-20 • Largest payer in this snapshot: La Jolla Pharmaceutical Company ($148).
Total Amount
$207
General + Research + Ownership
Payments
4
Total payment records
General Amount
$207
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-09-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| La Jolla Pharmaceutical Company | $148 |
| Edwards Lifesciences Corporation | $43 |
| Solventum Corporation | $16 |
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: 2025-09-19
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 5 Medicare enrollment records; no due dates published yet.
Enrollment records
5
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 |
|---|---|---|---|---|
| I20040426001691 | I | Physician Assistant | DC | TBD |
| I20080910000220 | I | Physician Assistant | MD | TBD |
| I20220221000976 | I | Physician Assistant | VA | TBD |
| I20240716002293 | I | Physician Assistant | MA | TBD |
| I20250919004204 | I | Physician Assistant | NC | 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 |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 219 | 67 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 73 | 32 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 37 | 22 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 34 | 33 | $0 |
Insurance plans in this area (ZIP 02118)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | VA | |
| Physician Assistant | VA | |
| E N D O C R I N O L O G Y | GA | |
| - | VA | |
| Internal Medicine | VA | |
| Family Practice | VA | |
| - | OH | |
| - | VA | |
| U R O L O G Y | IL | |
| - | VA |
Reviews
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