DR. DOMINIC JAMES KIOMENTO MD NPI 1871573667

NPI Information

  • NPI: 1871573667
  • Provider Name: DR. DOMINIC JAMES KIOMENTO, MD
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 8950 PROFESSIONAL DR
    CADILLAC, MI
    ZIP 49601
  • Phone: (231) 775-2493

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NPI Details

DR. Dominic James Kiomento, MD is a family medicine in Cadillac, MI with 27 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. DR. Dominic James Kiomento, MD NPI is 1871573667. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: CLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduation Year:1999

The provider's business location address is:

8950 PROFESSIONAL DR
CADILLAC, MI
ZIP 49601-599
Phone: (231) 775-2493
Fax: (231) 775-2570

The NPI 1871573667 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 office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Manual urinalysis test with examination using microscope, non-automated (HCPCS:81000)
  • Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
  • Administration of influenza virus vaccine (HCPCS:G0008)
  • Hemoglobin a1c level (HCPCS:83036)
  • Blood test, clotting time (HCPCS:85610)
  • Influenza vaccine split virus, preservative free (HCPCS:90662)
  • Anticoagulant management of patient taking warfarin (HCPCS:93793)
  • Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Triglycerides level (HCPCS:84478)
  • Ldl cholesterol level (HCPCS:83721)
  • Thyroxine (thyroid chemical), free (HCPCS:84439)
  • Fee covid-19 vac 13 res (HCPCS:0124A)
  • Adm sarscov2 50mcg/0.25mlbst (HCPCS:0064A)
  • Prostate cancer screening; prostate specific antigen test (psa) (HCPCS:G0103)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Urine microalbumin (protein) level (HCPCS:82043)
  • Fee covid-19 vac 14 res (HCPCS:0134A)
  • Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) (HCPCS:87811)
  • Assessment of emotional or behavioral problems (HCPCS:96127)
  • Adm sarscov2 30mcg/0.3ml bst (HCPCS:0004A)
  • Adm sarscv2 30mcg trs-sucr b (HCPCS:0054A)
  • Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • Annual depression screening, 15 minutes (HCPCS:G0444)
  • 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)
  • Psa (prostate specific antigen) measurement, total (HCPCS:84153)
  • Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
  • Telephone medical discussion with physician, 11-20 minutes (HCPCS:99442)
  • Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage (HCPCS:90686)
  • Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
  • Administration of pneumococcal vaccine (HCPCS:G0009)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • Melanoma (skin cancer) excision (HCPCS:NAN03)

The enumeration date for this NPI number is 1/19/2006 and was last updated on 3/5/2025.

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
1207Q00000XFamily Medicine4301086808MICHIGANYes

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
1080H310080OTHERMICHIGANBC BILLING NUMBER
2DK086808OTHERMICHIGANSTATE LICENSE NUMBER
34798746OTHERMICHIGANMOLINA BILLING NUMBER
44798746MEDICAIDMICHIGAN
5141754OTHERMICHIGANPREF CHOICE BILLING

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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