Dr Omar L Dominique, MD - Medicare Family Practice in Scottsdale, AZ

Dr Omar L Dominique, MD is a medicare enrolled "Hospitalist" physician in Scottsdale, Arizona. He graduated from medical school in 2011 and has 13 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Vituity - Arizona Hospitalists Pc, Comprehensive Hospitalist Services Of Arizona Llc, Northwest Hbp Medical Services Llc and his current practice location is 9700 N 91st St Ste A115, Scottsdale, Arizona. You can reach out to his office (for appointments etc.) via phone at (480) 770-3967.

Dr Omar L Dominique is licensed to practice in Arizona (license number 59823) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1770996050.

Contact Information

Dr Omar L Dominique, MD
9700 N 91st St Ste A115,
Scottsdale, AZ 85258-5036
(480) 770-3967
(602) 888-8540

Map and Direction




Physician's Profile

Full NameDr Omar L Dominique
GenderMale
SpecialityFamily Practice
Experience13 Years
Location9700 N 91st St Ste A115, Scottsdale, Arizona
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Omar L Dominique graduated from medical school in 2011
  NPI Data:
  • NPI Number: 1770996050
  • Provider Enumeration Date: 06/04/2014
  • Last Update Date: 12/14/2022
  Medicare PECOS Information:
  • PECOS PAC ID: 0941524516
  • Enrollment ID: I20191217001397

Medical Identifiers

Medical identifiers for Dr Omar L Dominique such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1770996050NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207Q00000XFamily Medicine 59823 (Arizona)Secondary
207Q00000XFamily Medicine MD-46257 (Iowa)Secondary
207Q00000XFamily Medicine 926-L (Mississippi)Secondary
208M00000XHospitalist 036-144834 (Illinois)Secondary
208M00000XHospitalist 59823 (Arizona)Primary
208M00000XHospitalist MD-46257 (Iowa)Secondary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Western Arizona Regional Medical CenterBullhead city, AZHospital
Honorhealth Deer Valley Medical CenterPhoenix, AZHospital
Northwest Medical CenterTucson, AZHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Vituity - Arizona Hospitalists Pc539516374570
Comprehensive Hospitalist Services Of Arizona Llc882013807625
Northwest Hbp Medical Services Llc8921356536117

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Omar L Dominique allows following entities to bill medicare on his behalf.
Entity NameComprehensive Hospitalist Services Of Arizona Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1689909780
PECOS PAC ID: 8820138076
Enrollment ID: O20091218000199
Entity NameNorthwest Hbp Medical Services Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1407353006
PECOS PAC ID: 8921356536
Enrollment ID: O20180730001756
Entity NameVituity - Arizona Hospitalists Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1770109704
PECOS PAC ID: 5395163745
Enrollment ID: O20200916002069
Entity NameApp Of Southern Arizona Hm Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518542679
PECOS PAC ID: 7113335159
Enrollment ID: O20210413000209

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Omar L Dominique is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Omar L Dominique, MD
9700 N 91st St Ste A115,
Scottsdale, AZ 85258-5036

Ph: (480) 770-3967
Dr Omar L Dominique, MD
9700 N 91st St Ste A115,
Scottsdale, AZ 85258-5036

Ph: (480) 770-3967

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.