Doctor profile · Federal record
Dr. Dominique Donatelli, MD
Anesthesiology Physician (CMS: Anesthesiology) · Grand Rapids, MI
- NPI 1093399909
- Accepts Medicare
- 5 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
Operates at 2 locations .
- Primary practice
-
3333 Evergreen Dr Ne
Grand Rapids, MI 495259493
(616) 364-7347 - Additional location
-
3601 W Thirteen Mile RD, Beaumont Hospital Gme Office
Royal Oak, MI 48073
(248) 898-5000 - Mailing address
-
2712 Miracle Ln Ne
Grand Rapids, MI 49525
Credentials & registration
- NPI registered
- May 2021 — 5 yrs on file
- Profile last updated
- June 12, 2025
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State license (1)
- Michigan #4351047691
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1093399909. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$250
Transactions
2
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Becton, Dickinson and Company | 1 | $127.91 | |
| Haemonetics Corporation | 1 | $122.50 |
By nature of payment
Hospital affiliations
Frequently asked questions
What is Dr. Dominique Donatelli's medical specialty?
Dr. Dominique Donatelli practices Anesthesiology Physician in Grand Rapids, MI.
Where does Dr. Dominique Donatelli practice?
Dr. Dominique Donatelli practices at 3333 Evergreen Dr Ne, Grand Rapids, MI 495259493. Office phone: 6163647347.
What is Dr. Dominique Donatelli's NPI?
Dr. Dominique Donatelli's National Provider Identifier (NPI) is 1093399909, issued by NPPES.
Does Dr. Dominique Donatelli accept Medicare assignment?
Yes. Dr. Dominique Donatelli accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.