DOMINIC J MINTALUCCI M.D. NPI 1114126869

NPI Information

  • NPI: 1114126869
  • Provider Name: DOMINIC J MINTALUCCI, M.D.
  • Classification: Orthopaedic Surgery - 207XS0106X
  • Specialization: Hand Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1405 MONTGOMERY DR
    SANTA ROSA, CA
    ZIP 95405
  • Phone: (707) 546-1922

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NPI Details

Dominic J Mintalucci, M.D. is a hand surgery orthopaedic surgery in Santa Rosa, CA with 19 years of experience. The provider is an orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. Dominic J Mintalucci, M.D. NPI is 1114126869. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

1405 MONTGOMERY DR
SANTA ROSA, CA
ZIP 95405-557
Phone: (707) 546-1922
Fax: (707) 546-1897

The NPI 1114126869 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg (HCPCS:J0702)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Continuous intraoperative neurophysiology monitoring, from outside the operating room (remote or nearby), per patient, (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) (HCPCS:G0453)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Injection into tendon or ligament (HCPCS:20550)
  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Repair of tendon, finger, and/or palm of hand (HCPCS:26145)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Therapy procedure using manual technique, each 15 minutes (HCPCS:97140)
  • Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • Release and/or relocation of hand nerve (HCPCS:64721)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Placement of skin electrodes and measurement of central motor stimulation in arms and legs (HCPCS:95939)
  • Needle measurement of electrical activity in arm or leg muscles, 2 extremities (HCPCS:95861)
  • Aspiration and/or injection of fluid from small joint (HCPCS:20600)
  • Aspiration and/or injection of cyst of tendon (HCPCS:20612)
  • Application of stress by physician for joint imaging (HCPCS:77071)
  • Application of hot wax bath (HCPCS:97018)
  • Needle measurement of electrical activity in arm or leg muscles, 4 extremities (HCPCS:95864)
  • X-ray of elbow, minimum of 3 views (HCPCS:73080)
  • X-ray of finger, minimum of 2 views (HCPCS:73140)
  • Removal of growth of muscle of hand or finger, less than 1.5 cm (HCPCS:26116)
  • Aspiration and/or injection of fluid from medium joint (HCPCS:20605)
  • Application of ultrasound, each 15 minutes (HCPCS:97035)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Removal of lining of tendon covering of wrist (HCPCS:25118)
  • Incision of tendon of forearm and/or wrist, open procedure (HCPCS:25290)
  • Treatment of 3 or more broken lower forearm bone pieces on thumb side inside wrist joint with placement of stabilizing device (HCPCS:25609)
  • Evaluation for physical therapy, typically 30 minutes (HCPCS:97162)
  • Evaluation for occupational therapy, typically 30 minutes (HCPCS:97165)
  • Spinal fusion (HCPCS:NAN02)

The enumeration date for this NPI number is 7/13/2007 and was last updated on 10/4/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207X00000XOrthopaedic SurgeryA126421CALIFORNIANo
2207XS0106XOrthopaedic SurgeryHand SurgeryA126421CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A126421OTHERCALIFORNIALICENSE
2HN132ZMEDICARE PIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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