CARLO DOMINGO AGNP-C NPI 1194251272

NPI Details

Carlo Domingo, AGNP-C is a gerontology nurse practitioner in Hainesville, IL with 10 years of experience. Carlo Domingo, AGNP-C NPI is 1194251272. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2015

The provider's business location address is:

4 N DEER POINT DR
STE 1002
HAINESVILLE, IL
ZIP 60030-814
Phone: (847) 946-0198

The NPI 1194251272 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.

• Established patient home visit, typically 40 minutes (HCPCS:99349)
• Established patient home visit, typically 25 minutes (HCPCS:99348)
• Established patient home visit, typically 1 hour (HCPCS:99350)
• New patient home visit, typically 1 hour (HCPCS:99344)
• Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
• Management using the results of remote vital sign monitoring per calendar month, first 20 minutes (HCPCS:99457)
• Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
• Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
• Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
• Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes (HCPCS:99458)
• Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days (HCPCS:99454)

The enumeration date for this NPI number is 5/10/2017 and was last updated on 10/11/2021.

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: