GUADALUPE R DOMINGUEZ (PAC) – Physician Assistant, NPI 1649268913
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,223 PHYSICIAN ASSISTANT in NV
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Provider Addresses for GUADALUPE R DOMINGUEZ (PAC)
5701, West Charleston Boulevard, Charleston Heights, Las Vegas, Clark County, Nevada, 89146, United States
SUITE 100
LAS VEGAS, NV 891461217
Phone: (702) 312-3444
Fax: (702) 312-3510
Type: Mailing
1905, Civic Center Drive, North Las Vegas, Clark County, Nevada, 89030, United States
NORTH LAS VEGAS, NV 890307143
Phone: (702) 877-9514
Fax: (702) 312-3510
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 81 Open Payments records for all available years, with a total value of $1,497.
Total Amount is formed as General ($1,497) + Research ($0) + Ownership ($0) = $1,497.
Last reported payment date: 2024-12-23 • Largest payer in this snapshot: ABBVIE INC. ($495).
Total Amount
$1,497
General + Research + Ownership
Payments
81
Total payment records
General Amount
$1,497
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-23
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $495 |
| Janssen Biotech, Inc. | $190 |
| GENZYME CORPORATION | $132 |
| Gilead Sciences, Inc. | $105 |
| Takeda Pharmaceuticals U.S.A., Inc. | $80 |
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: 2004-08-02
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 |
|---|---|---|---|---|
| I20040802001575 | I | Physician Assistant | NV | 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 | 50 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 44 | 28 | $0 |
Insurance plans in this area (ZIP 89146)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | PA | |
| G A S T R O E N T E R O L O G Y | NV | |
| Nurse Practitioner | NV | |
| G A S T R O E N T E R O L O G Y | NV | |
| G A S T R O E N T E R O L O G Y | NV | |
| Nurse Practitioner | NV |
Reviews
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