Dino Raul Dominguez Jr, CRNA - Medicare Certified Registered Nurse Anesthetist (crna) in Phoenix, AZ

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Dino Raul Dominguez Jr, CRNA is a medicare enrolled "Nurse Anesthetist, Certified Registered" in Phoenix, Arizona. He graduated from nursing school in 2003 and has 23 years of diverse experience with area of expertise as Certified Registered Nurse Anesthetist (crna). He is a member of the group practice Scottsdale Surgical Partners, Llc and his current practice location is 4212 N 16th St, Phoenix, Arizona. You can reach out to his office (for appointments etc.) via phone at (602) 263-1200.

Dino Raul Dominguez Jr is licensed to practice in Arizona (license number CRNA0564) 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 1629052436.

Contact Information

Dino Raul Dominguez Jr, CRNA
4212 N 16th St,
Phoenix, AZ 85016-5319
(602) 263-1200
(602) 263-1619

Map and Direction




Provider's Profile

Full NameDino Raul Dominguez Jr
GenderMale
SpecialityCertified Registered Nurse Anesthetist (crna)
Experience23 Years
Location4212 N 16th St, Phoenix, 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:
  • Dino Raul Dominguez Jr graduated from nursing school in 2003
  NPI Data:
  • NPI Number: 1629052436
  • Provider Enumeration Date: 12/05/2005
  • Last Update Date: 03/16/2026
  Medicare PECOS Information:
  • PECOS PAC ID: 1557360138
  • Enrollment ID: I20101029000593

Medical Identifiers

Medical identifiers for Dino Raul Dominguez Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1629052436NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered CRNA0564 (Arizona)Primary
163W00000XRegistered Nurse RN3150502 (Florida)Secondary
367500000XNurse Anesthetist, Certified Registered R168347 (Maryland)Secondary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Scottsdale Surgical Partners, Llc448668911427

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. Dino Raul Dominguez Jr allows following entities to bill medicare on his behalf.
Entity NameValley Anesthesiology Consultants Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1285660704
PECOS PAC ID: 4880591841
Enrollment ID: O20031217000620
Entity NameGateway Anesthesia And Pain Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1710026125
PECOS PAC ID: 0042314668
Enrollment ID: O20070409000257
Entity NameNetwork Anesthesia Consultants Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1083125843
PECOS PAC ID: 6901160894
Enrollment ID: O20180430002243
Entity NameScottsdale Surgical Partners, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1396232559
PECOS PAC ID: 4486689114
Enrollment ID: O20180719003490
Entity NameHospitalist Medicine Physicians Of Arizona - Nogales
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1487251799
PECOS PAC ID: 9335554625
Enrollment ID: O20210218002429

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. Dino Raul Dominguez Jr 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
Dino Raul Dominguez Jr, CRNA
Po Box 95460,
Cleveland, OH 44101-0033

Ph: (602) 581-6076		Dino Raul Dominguez Jr, CRNA
4212 N 16th St,
Phoenix, AZ 85016-5319

Ph: (602) 263-1200

Reviews and Comments


Nurse Anesthetist, Certified Registered Nurses in Phoenix, AZ

Jenny Mcdonald, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4212 N 16th St, Phoenix, AZ 85016
Phone: 602-263-1200    
Rufus Lee Casey, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 4212 N 16th St, Phoenix, AZ 85016
Phone: 602-263-1511    Fax: 602-263-1637
Maria M Valentin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 4212 N 16th St, Phoenix, AZ 85016
Phone: 602-263-1200    Fax: 602-263-1619
Michelle Minta, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 4441 E Mcdowell Rd, Ste 101, Phoenix, AZ 85008
Phone: 602-273-6770    Fax: 602-889-0489
Jeanmarie Altieri, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 645 E Missouri Ave Ste 300, Phoenix, AZ 85012
Phone: 602-262-8900    Fax: 602-262-8890
Richard Warren Busby, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054
Phone: 480-301-8000    Fax: 480-301-4988
Mr. Daniel Patrick Harmeyer, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008
Phone: 602-344-5039    

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.