Jerome Taymon Domzalski, MD
NPI 1952539280ActiveIndividual· Radiology, Diagnostic Radiology· Peoria, IL
Radiology, Diagnostic Radiology (MD) in Peoria, Illinois, trained at Duke University School of Medicine (class of 2009). Medicare paid $37,157 for services to 931 patients in 2024.
Overview
| NPI | 1952539280 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Jun 25, 2009 |
| Last updated in NPPES | Oct 23, 2023 |
| Certified by provider | Oct 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | 036-164444 | IL |
| Radiology, Diagnostic Radiology | 2085R0202X | MD185931 | OR |
| Radiology, Diagnostic Radiology | 2085R0202X | MD60808674 | WA |
| Radiology, Diagnostic Radiology | 2085R0202X | M-14669 | ID |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Diagnostic Radiology (WA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 931 |
|---|---|
| Services billed | 1,058 across 43 procedure codes |
| Paid by Medicare | $37,157 |
Education and affiliations
| Medical school | Duke University School of Medicine |
|---|---|
| Graduation year | 2009 |
| Medicare specialty | Diagnostic Radiology |
Medical groups
- Osf Multi-Specialty GroupMorton, IL · 2,114 clinicians
- Central Illinois Radiological Associates LtdKewanee, IL · 209 clinicians
- Cira Michigan PCPeoria, IL · 91 clinicians
Hospital affiliations
- Osf Little Company of Mary Medical CenterEvergreen Park, IL
- Osf Saint Elizabeth Mdl CtrPeru, IL
- Saint Francis Medical CenterPeoria, IL
- St Joseph Medical CenterBloomington, IL
- St Mary Medical CenterGalesburg, 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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All 79 diagnostic radiologists in Peoria · All diagnostic radiologists in Illinois