MEDICARE: DR. JOSE E DOMINGUEZ M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207L00000X	Anesthesiology Physician	D0044736	MD
2	207L00000X	Anesthesiology Physician	0101271297	VA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	D0044736	OTHER	MD	STATE LICENSE NUMBER
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1942201884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSE E DOMINGUEZ M.D.

Provider Business Mailing Address
First Line	:	90 LOCKWOOD LN
Second Line	:
City	:	LEXINGTON
State	:	VA
Zip	:	24450-7281
Country	:	US
Telephone Number	:	410-746-3937
Fax Number	:

Provider Business Practice Location Address
First Line	:	8600 OLD GEORGETOWN RD
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-1422
Country	:	US
Telephone Number	:	301-896-3100
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/02/2005
Last Update Date	:	12/18/2025

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