DR. NERVANE TAREK DOMLOJ (MD) – Anesthesiology Physician, NPI 1790761831

DR. NERVANE TAREK DOMLOJ (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. 4301081404 (MI). The NPI Number for DR. NERVANE TAREK DOMLOJ (MD) is 1790761831

Main info

Female
Sole Proprietor
28 Years Of Experience
Accepts Medicare Assignment
Name
DR. NERVANE TAREK DOMLOJ (MD)
NPI
1790761831
Phone
(513) 585-5502
Address
PO BOX 636256
Enumeration Date
20 December 2005
Last Update Date
30 May 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5135841000
Graduation Year
1998 (28 years ago)
PAC ID
9739225152
Group Practice PAC ID
2264344480
Professional Enrollment ID
I20091014000817
Address ID
OH452192369CI3188XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

2,271 ANESTHESIOLOGY in OH

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Provider Addresses for DR. NERVANE TAREK DOMLOJ (MD)

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CENTRAL CREDENTIALING

    CINCINNATI, OH 452636256

    Phone: (513) 585-5502

    Fax: (513) 585-5511

    Type: Mailing

  • West Chester Hospital, 7700, University Drive, West Chester Township, Butler County, Ohio, 45069, United States

    WEST CHESTER, OH 450692505

    Phone: (513) 585-5502

    Fax: (513) 585-5511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-10-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20091014000817IAnesthesiologyOHTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2424$0
00812Anesthesia for exam of colon using an endoscope1818$0
View full utilization report →

Insurance plans in this area (ZIP 45263)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264344480View full group profile
NameSpecialtyState
-OH
Radiation OncologyOH
Certified Registered Nurse Anesthetist (Crna)OH
-OH
N E U R O L O G YOH
-OH
-OH
-OH
-OH
Family PracticeOH

Reviews

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Frequently asked questions

How do I look up DR. NERVANE TAREK DOMLOJ (MD) by NPI?
Use NPI 1790761831 when you need to reference DR. NERVANE TAREK DOMLOJ (MD) in forms, claims, or directories.
Is DR. NERVANE TAREK DOMLOJ (MD) currently active in the NPI registry?
CMS-published data lists DR. NERVANE TAREK DOMLOJ (MD) as an active registrant.
What kind of provider is DR. NERVANE TAREK DOMLOJ (MD)?
The page reflects Anesthesiology Physician for DR. NERVANE TAREK DOMLOJ (MD). Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. NERVANE TAREK DOMLOJ (MD)?
The page summarizes Cincinnati, Ohio for DR. NERVANE TAREK DOMLOJ (MD); expand the address list for detail.
Is DR. NERVANE TAREK DOMLOJ (MD) a real provider?
This page reflects official NPPES data for NPI 1790761831. Always confirm identity and privileges with the practice and licensing boards.

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