MARIAH PAZ DOMINGUEZ PA-C NPI 1235606518

NPI Details

Mariah Paz Dominguez, PA-C is a family medicine in Grand Rapids, MI with 7 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Mariah Paz Dominguez, PA-C NPI is 1235606518. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

770 KENMOOR AVE SE STE 100
GRAND RAPIDS, MI
ZIP 49546-602
Phone: (616) 272-3533
Fax: (616) 259-4839

The NPI 1235606518 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 custodial care facility, group care, or assisted living visit, typically 40 minutes (HCPCS:99336)
• Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99489)
• Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99490)
• Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99487)
• Established patient custodial care facility, group care, or assisted living visit, typically 1 hour (HCPCS:99337)
• Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
• Assessment of and care planning for impaired thought processing, typically 50 minutes (HCPCS:99483)
• Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month (HCPCS:99439)

The enumeration date for this NPI number is 10/25/2018 and was last updated on 6/7/2022.

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: