Kathleen Marie Dominguez, M.D.
NPI 1285764886ActiveIndividual· Surgery, Pediatric Surgery· Urbana, IL
Surgery, Pediatric Surgery (M.D.) in Urbana, Illinois, licensed in IL and WI, with an NPI issued in March 2007. Enrolled in Medicare as practitioner - general surgery.
Overview
| NPI | 1285764886 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Mar 6, 2007 |
| Last updated in NPPES | Oct 21, 2025 |
| Certified by provider | Oct 21, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Pediatric Surgery Primary | 2086S0120X | 036146280 | IL |
| Surgery, Pediatric Surgery | 2086S0120X | 57264 | WI |
| Surgery, Surgical Critical Care | 2086S0102X | 036146280 | IL |
| Surgery | 208600000X | 036146280 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Surgery (IL) |
|---|
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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