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Deactivated NPI 1386826139 Deactivated / Inactive NPI Male Practitioner

Dr. Domingo Pagan , MD

General Practice • Vineyard Haven, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Domingo Pagan has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date December 04, 2007
NPI Deactivation Date February 06, 2025
Total Practice Duration ~18 Years of Practice (2007 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Domingo Pagan, MD was a registered General Practice practicing in Vineyard Haven, MA. Throughout an active medical career spanning 18 years, Dr. Pagan provided care at the practice location at 1 LAGOON POND RD until profile deactivation on 2025-02-06.

Practice Location & Contact Primary Location

Practice Address

1 Lagoon Pond Rd

Vineyard Haven, MA 025685514

Telephone 5086937730

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Vineyard Haven, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 40.0 Yrs
State Avg: 30.7 Yrs
Regional Practice Density
2 Specialists

Practicing in Vineyard Haven, MA (160 Statewide)

Telehealth Adoption Rate
50.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MA 44631

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

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

7 Historical Events
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NPI Profile Deactivated February 06, 2025

Record deactivated on February 06, 2025

NPI Profile Active December 04, 2007

NPI status registered as active in NPPES database

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Updated Practice Location December 04, 2007

Registered at 1 LAGOON POND RD, VINEYARD HAVEN, MA 025685514 (Tel: 5086937730)

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Updated Business Mailing Address December 04, 2007

Registered at 1 LAGOON POND RD, VINEYARD HAVEN, MA 025685514 (Tel: 5086937730)

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Provider Name / Credentials Updated December 04, 2007

Recorded as DOMINGO PAGAN, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) December 04, 2007

General Practice (License #44631 in MA)

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Initial NPI Registration & Enumeration December 04, 2007

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: 1386826139
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 04, 2007
Last Update: December 04, 2007
Deactivation Date: February 06, 2025

Mailing Address

1 Lagoon Pond Rd

Vineyard Haven, MA 025685514

Phone: 5086937730

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.