Dr. Steven Domiano

Diagnostic Radiology Osf Little Company Of Mary Medical Center NPI1578582532

Summary

About

Dr. Steven Domiano specialises in Diagnostic Radiology. He currently works at Osf Little Company Of Mary Medical Center in Illinois and has affiliate with 1 other institution.

Provider Details

NPI Number 1578582532
Provider Name Steven Domiano
Credential MD
Specialization Diagnostic Radiology
Medical School Name State University Of New York At Buffalo School Of Medicine
Graduation Year 1987
Gender M
Entity Type Individual
PAC ID by PECOS 8325084882
Professional Enrollment ID I20050706000693
Enumeration Date 07/19/2006
Last Update Date 07/08/2007

Contact Details

Business Practice address 2800 W 95TH ST, Evergreen,
60805 Illinois View on Google Map
Business Practice phone 708-229-5104
Business Practice fax 630-323-1699
Mailing address 6910 S MADISON, Willowbrook,
60805 Illinois View on Google Map
Other phone 630-321-2715
Other fax 630-323-1699
Email Address shannonfig@domain.com Reval Email Address
Incorrect information? Update the NPI Details for Steven Domiano MD Update NPI

Payments

Total Payment Worth

$129.93
from 7 payments in the last 6 years

Total Cash or Cash Equivalent

$0.00
from 0 payments in the last 6 years

Total In-kind Items & Services

$129.93
from 7 payments in the last 6 years

Hospital Affilitation

Osf Little Company Of Mary Medical Center in Evergreen

Evergreen, Illinois

Advocate Christ Hospital & Medical Center

Education & Training

State University Of New York At Buffalo School Of Medicine

Diagnostic Radiology, 1987

Group Affiliation

Organization Name PECOS PAC ID Members
Radiology Imaging Specialists 2860493475 10

Public Reporting for Performance Scores

More Details

Final MIPS Score

100 out of 100

Score Breakdown

Quality Category Score 99
PI Category Score 0

 

IA Category Score 40
Cost Category Score 0
Total Patients: 73
Source of Scores: group
Newsletter for Healthcare Professionals

Provider Taxonomy Details

Primary Taxonomy
Taxonomy

Reference NPI Information (as per NPPES NPI Record)

Field Name Field Value
NPI 1578582532
10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Individual
Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor N
Indicate whether provider is a sole proprietor.
  • A sole proprietor is the sole (the only) owner of a business that is not incorporated; that unincorporated business is a sole proprietorship.
  • In a sole proprietorship, the sole proprietor owns all of the assets of the business and is solely liable for all of the debts of the business.
  • There is no difference between a sole proprietorship and a sole proprietor; they are legally a single entity: an individual.
  • In terms of NPI assignment, a sole proprietor is an Entity type 1 (Individual) and is eligible for only one NPI (the sole proprietorship business is not eligible for its own NPI).
  • As an individual, a sole proprietorship cannot be a subpart and cannot have subparts. (See NPI Final Rule for information about subparts.)
  • A sole proprietorship may or may not have employees.
  • Often, the IRS assigns an EIN to a sole proprietorship in order to protect the sole proprietor's SSN from disclosure in claims or on W-2s. NPPES does not capture a sole proprietorship's EIN.
  • Many types of health care providers could be sole proprietorships (for example, group practices, pharmacies, home health agencies).
Provider Last Name (Legal Name) Domiano
The last name of the provider (if an individual). If the provider is an individual, this is the legal name. This name must match the name on file with the Social Security Administration (SSA). In addition, the date of birth must match that on file with SSA. (First and last names are required for initial applications.) The First, Middle, Last and Credential(s) fields allow the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters.
Provider First Name Steven
The first name of the provider, if the provider is an individual.
Provider Credential Text MD
The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.
Provider First Line Business Mailing Address 6910 S MADISON
The first line mailing address of the provider being identified. This data element may contain the same information as ''Provider first line location address''.
Provider Business Mailing Address City Name Willowbrook
The City name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address City name''.
Provider Business Mailing Address State Name Illinois
The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address State name''.
Provider Business Mailing Address Postal Code 60805
The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as ''Provider location address postal code''.
Provider Business Mailing Address Country Code US
The country code in the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address country code''.
Provider Business Mailing Address Telephone Number 630-321-2715
The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as ''Provider location address telephone number''.
Provider Business Mailing Address Fax Number 630-323-1699
The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider First Line Business Practice Location Address 2800 W 95TH ST
The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Business Practice Location Address City Name Evergreen
The city name in the location address of the provider being identified.
Provider Business Practice Location Address State Name Illinois
The State or Province name in the location address of the provider being identified.
Provider Business Practice Location Address Postal Code 60805
The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
Provider Business Practice Location Address Country Code US
The country code in the location address of the provider being identified.
Provider Business Practice Location Address Telephone Number 708-229-5104
The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number 630-323-1699
The fax number associated with the location address of the provider being identified.
Provider Enumeration Date 07/19/2006
The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date 07/08/2007
The date that a record was last updated or changed.
Provider Gender Code M
The code designating the provider's gender if the provider is a person.
Provider Gender Male
The provider's gender if the provider is a person.
Healthcare Provider Taxonomy Code #1 2085R0202X
The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy 1 A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Healthcare Provider Taxonomy #1
Provider License Number State Code 1 IL
Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch 1 Y
Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.