Dominic Lullo, MD
NPI 1598227415ActiveIndividual· Surgery· Mesa, AZ
Surgery (MD) with Banner Hospital Based Physicians Arizona LLC and 1 other group, practicing in Mesa, Arizona. Enrolled in Medicare as practitioner - general surgery. Clr Medical, Inc. was the largest of 2 companies reporting payments in 2025, $104.70 in all, mostly food and beverage. Lists Banner Baywood Medical Center and 3 other hospitals as hospital affiliations.
Overview
| NPI | 1598227415 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | Yes |
| NPI issued | Apr 1, 2019 |
| Last updated in NPPES | Sep 9, 2025 |
| Certified by provider | Sep 9, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | 77760 | AZ |
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 (AZ) |
|---|
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | General Surgery |
Medical groups
- Banner Hospital Based Physicians Arizona LLCGlendale, AZ · 637 clinicians
- Arizona Advanced Surgery LLCPhoenix, AZ · 95 clinicians
Hospital affiliations
- Banner Baywood Medical CenterMesa, AZ
- Banner Casa Grande Medical CenterCasa Grande, AZ
- Banner Desert Medical CenterMesa, AZ
- Banner Gateway Medical CenterGilbert, AZ
Industry payments (Open Payments)
- 2025$104.70 · 2 payments from 2 companies
- 2024$148.31 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Clr Medical, Inc. | $75.00 | 1 |
| Abiomed | $29.70 | 1 |
What the 2025 payments were for
- Food and Beverage$104.70 · 2 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
Other Surgery providers in Mesa
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- 1134265226