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Active NPI 1508253410 Individual Practitioner Female Practitioner

Hazel Dhates Asunio Domingo , PA-C

Physician Assistant • Chicago, IL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Hazel Dhates Domingo, PA-C is a certified Physician Assistant practicing in Chicago, IL. With approximately 11 years of clinical experience since completing medical education in 2015, Hazel Dhates Domingo delivers high-quality medical care to the local community at 259 E ERIE ST FL 16.

Hazel Dhates Domingo is affiliated with Northwestern Medical Faculty Foundation and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, measurement of liver stiffness, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

259 E Erie St Fl 16

Chicago, IL 606112987

Telephone 3126955620
Fax 3126950042

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Chicago, IL

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs +3.2 yrs vs City Avg
City Avg: 7.8 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
1451 Specialists

Practicing in Chicago, IL (4958 Statewide)

Telehealth Adoption Rate
17.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
61.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Domingo (11 Years) 11 Yrs
Chicago Specialty Average (7.8 Years) 7.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more
31 29 $335.00 $129.04

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License IL 085.0007019

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Northwestern Medical Faculty Foundation

676 N Saint Clair St, Chicago, IL 606112927

Northwestern Medical Faculty Foundation

675 N Saint Clair St, Chicago, IL 606115975

Northwestern Medical Faculty Foundation

251 E Huron, Chicago, IL 606112908

Northwestern Medical Faculty Foundation

676 N Saint Clair, Chicago, IL 606112927

Northwestern Medical Faculty Foundation

251 E Huron St, Chicago, IL 606112908

Northwestern Medical Faculty Foundation

675 N St Clair, Chicago, IL 606115975

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Athena Crowley , APRN, CNP

Nurse Practitioner

NPI 1003570045

Advanced Practice Registered Nurse, Certified Nurse Practitioner

Dr. Darren Brenner , MD

Internal Medicine - Gastroenterology

NPI 1003997875

Doctor of Medicine (M.D.)

Dr. Andres Duarte , MD

Internal Medicine - Hepatology

NPI 1043520380

Doctor of Medicine (M.D.)

Domenico Farina

Internal Medicine - Gastroenterology

NPI 1043665060
Joanne Bavelis , PA-C

Physician Assistant - Medical

NPI 1063406718

Physician Assistant (Certified)

NPI 1073573143

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

16 Historical Events
📍
Updated Business Mailing Address August 05, 2019

Registered at 676 N SAINT CLAIR ST STE 2000, CHICAGO, IL 606113147 (Tel: 3126954837)

📍
Updated Practice Location June 30, 2019

Registered at 259 E ERIE ST FL 16, CHICAGO, IL 606112987 (Tel: 3126955620)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 17, 2019

Physician Assistant (License #085.0007019 in IL)

NPI Profile Active July 12, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location July 12, 2017

Registered at 22 S GREENE ST, BALTIMORE, MD 212011544 (Tel: 4103285310)

📍
Updated Business Mailing Address July 12, 2017

Registered at 22 S GREENE ST, BALTIMORE, MD 212011544 (Tel: 4103285310)

👤
Provider Name / Credentials Updated July 12, 2017

Recorded as HAZEL DHATES DOMINGO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 12, 2017

Physician Assistant

📍
Updated Practice Location May 05, 2017

Registered at 22 S GREENE ST, BALTIMORE, MD 212011544 (Tel: 4103285310)

📍
Updated Business Mailing Address May 05, 2017

Registered at 22 S GREENE ST, BALTIMORE, MD 212011544 (Tel: 4103285310)

NPI Profile Active April 17, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location April 17, 2015

Registered at 20016 SYRACUSE AVE, BROWNSTOWN, MI 481749434 (Tel: 2485132201)

📍
Updated Business Mailing Address April 17, 2015

Registered at 20016 SYRACUSE AVE, BROWNSTOWN, MI 481749434 (Tel: 2485132201)

👤
Provider Name / Credentials Updated April 17, 2015

Recorded as HAZEL DHATES DOMINGO, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 17, 2015

Physician Assistant

🟢
Initial NPI Registration & Enumeration April 17, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1508253410
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 17, 2015
Last Update: August 05, 2019
Sole Proprietor: Yes

Mailing Address

676 N Saint Clair St Ste 2000

Chicago, IL 606113147

Phone: 3126954837

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.