Doctor profile · Federal record
Dr. Dallas Domangue, MD
Anesthesiology Physician (CMS: Anesthesiology) · Student in an Organized Health Care Education/Training Program · Jackson, MS
- NPI 1205413010
- Accepts Medicare
- 5 yrs in practice
- Male
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2500 N State St
Jackson, MS 392164500
(601) 984-1000 - Mailing address
-
127 Parkway Dr Apt 1103
Jackson, MS 392114212
Credentials & registration
- NPI registered
- March 2021 — 5 yrs on file
- Profile last updated
- July 3, 2021
- Year of graduation
- 2021 — 5 yrs since
- Specialty taxonomy
- 207L00000X — NUCC code
- State license (1)
- Mississippi #T-4248
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1205413010. Last verified May 11, 2026.Open Payments
Industry payments received
All-time total
$87
Transactions
5
Manufacturers
2
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Medtronic, INC. | 4 | $64.28 | |
| Merck Sharp & Dohme LLC | 1 | $22.42 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
53
Patients
0
Total drug cost
$990
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) | Brand | 18 | 0 | $280 |
| Pregabalin | Generic | 12 | 0 | $421 |
| Tizanidine Hcl | Generic | 12 | 0 | $111 |
| Tramadol Hcl | Generic | 11 | 0 | $179 |
Frequently asked questions
What is Dr. Dallas Domangue's medical specialty?
Dr. Dallas Domangue practices Anesthesiology Physician in Jackson, MS.
Where does Dr. Dallas Domangue practice?
Dr. Dallas Domangue practices at 2500 N State St, Jackson, MS 392164500. Office phone: 6019841000.
What is Dr. Dallas Domangue's NPI?
Dr. Dallas Domangue's National Provider Identifier (NPI) is 1205413010, issued by NPPES.
Does Dr. Dallas Domangue accept Medicare assignment?
Yes. Dr. Dallas Domangue accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.