LOUIS JR. DOMENICO (MD) – Vascular & Interventional Radiology Physician, NPI 1942380902
Vascular & Interventional Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
373 INTERVENTIONAL RADIOLOGY in PA
Loading map...
Provider Addresses for LOUIS JR. DOMENICO (MD)
PO BOX 416147
BOSTON, MA 022416147
Phone: (610) 644-8900
Fax: (484) 924-0053
Type: Mailing
2412, Passyunk Avenue, Girard Estates, South Philadelphia, Philadelphia, Philadelphia County, Pennsylvania, 19145, United States
PHILADELPHIA, PA 191454114
Phone: (215) 462-2100
Fax: (215) 462-3100
Type: Location
40, Valley Stream Parkway, Malvern, Chester County, Pennsylvania, 19355, United States
SUITE 100
MALVERN, PA 193551407
Phone: (610) 644-8900
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $45.
Total Amount is formed as General ($45) + Research ($0) + Ownership ($0) = $45.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: W. L. Gore & Associates, Inc. ($29).
Total Amount
$45
General + Research + Ownership
Payments
2
Total payment records
General Amount
$45
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| W. L. Gore & Associates, Inc. | $29 |
| Bard Peripheral Vascular, Inc. | $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: 2006-12-21
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 |
|---|---|---|---|---|
| I20061221000007 | I | Interventional Radiology | PA | 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 |
|---|---|---|---|---|
| Q9967 | Low osmolar contrast material, 300-399 mg/ml iodine concentration, per ml | 1,065 | 13 | $0 |
| 36902 | Insertion of needle and/or tube into hemodialysis circuit and balloon dilation of dialysis segment with review by radiologist | 138 | 113 | $0 |
| 77001 | Fluoroscopic guidance for insertion or removal of central vein access device | 59 | 52 | $0 |
| 36581 | Replacement of tunneled central venous tube | 41 | 35 | $0 |
| 36905 | Removal and/or dissolving of blood clot in hemodialysis circuit and balloon dilation of dialysis segment with imaging review by radiologist, with balloon tube | 41 | 35 | $0 |
Insurance plans in this area (ZIP 02241)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | PA | |
| - | MA | |
| Vascular Surgery | PA | |
| Interventional Radiology | MD | |
| Interventional Radiology, Diagnostic Radiology | PA | |
| Nephrology, Internal Medicine, Interventional Radiology, Interventional Radiology, Nephrology | PA | |
| Interventional Radiology, Diagnostic Radiology, Interventional Radiology | NJ |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.