Carlos Del Valle Montes Domini, M.D.
NPI 1528043429ActiveIndividual· General Practice· Peoria, AZ
General Practice (M.D.) with Active Vital Care LLC, practicing in Peoria, Arizona. In 2024 Medicare paid $34,458 for 149 patients, and Part D covered 363 of their prescriptions, 83% of them generic.
Overview
| NPI | 1528043429 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Dec 13, 2005 |
| Last updated in NPPES | Jan 13, 2023 |
| Certified by provider | Jan 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 58738 | AZ |
| Obstetrics & Gynecology | 207V00000X | A50991 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 149 |
|---|---|
| Services billed | 857 across 11 procedure codes |
| Paid by Medicare | $34,458 |
Part D prescriptions in 2024
| Prescriptions (claims) | 363 · 558 30-day fills |
|---|---|
| Patients | 89 |
| Total drug cost | $28,913 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 1974 |
|---|---|
| Medicare specialty | General Practice |
| Telehealth | Offers telehealth |
Medical group
- Active Vital Care LLCPhoenix, AZ · 21 clinicians
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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