Doctor profile · Federal record
Dr. Dino Dominguez, CRNA
Certified Registered Nurse Anesthetist (CMS: Certified Registered Nurse Anesthetist (CRNA)) · Registered Nurse · Certified Registered Nurse Anesthetist · Phoenix, AZ
- NPI 1629052436
- Accepts Medicare
- 23 yrs in practice
- Licensed in 3 states
- Male
- Group practice
- No sanctions
Practice & contact
Operates at 5 locations .
- Primary practice
-
4212 N 16Th St
Phoenix, AZ 850165319
(602) 263-1200
fax (602) 263-1619 - Additional location
-
2620 N 3Rd St
Phoenix, AZ 850041153
(602) 489-3391
fax (602) 452-1464 - Additional location
-
875 N Greenfield RD Ste 107
Gilbert, AZ 852345044
(480) 813-8700 - Additional location
-
8901 E Raintree Dr Ste 100
Scottsdale, AZ 85260
(480) 767-2100 - Additional location
-
222 Cheshire RD
Severna Park, MD 211463215
(410) 328-7548 - Mailing address
-
Po Box 95460
Cleveland, OH 441010033
Show 2 more locations
Credentials & registration
- NPI registered
- December 2005 — 21 yrs on file
- Profile last updated
- March 16, 2026
- Year of graduation
- 2003 — 23 yrs since
- Specialty taxonomy
- 367500000X — NUCC code
- State licenses (3)
- Arizona #CRNA0564 · Florida #RN3150502 · Maryland #R168347
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1629052436. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
12
Distinct HCPCS
1
Medicare allowed
$1,223
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
00812 |
Anesthesia for exam of colon using an endoscope | 12 | 12 | $102 |
In context: peer comparison
Among 73 peers in Phoenix Certified Registered Nurse Anesthetist, average services per provider: 40. This provider delivers 0.3× the peer median.Open Payments
Industry payments received
All-time total
$22
Transactions
1
Manufacturers
1
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 1 | $22.01 |
By nature of payment
Frequently asked questions
What is Dr. Dino Dominguez's medical specialty?
Dr. Dino Dominguez practices Certified Registered Nurse Anesthetist in Phoenix, AZ.
Where does Dr. Dino Dominguez practice?
Dr. Dino Dominguez practices at 4212 N 16Th St, Phoenix, AZ 850165319. Office phone: 6022631200.
What is Dr. Dino Dominguez's NPI?
Dr. Dino Dominguez's National Provider Identifier (NPI) is 1629052436, issued by NPPES.
Does Dr. Dino Dominguez accept Medicare assignment?
Yes. Dr. Dino Dominguez accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Dino Dominguez commonly perform?
Top Medicare-reported procedures in 2023: Anesthesia for exam of colon using an endoscope (HCPCS 00812). Source: CMS Medicare Physician & Other Practitioners file.