Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Danmar T Domingo, CNP

Individual provider Adult Health Nurse Practitioner · NPI 1104384106

Danmar T Domingo, CNP is a Nurse Practitioner in Livonia, Michigan. Qualified in 2018, 8 years ago. Practices with Iha Health Services Corporation, a 1,146-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
8
Licensed in
MI
In the registry since
2019
Specialties on file
2
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Partly verified

Some contact details are missing from the federal record.

Trinity Health Iha Medical Group Endocrinology 19000 St Joe's Pkwy Ste 300
Livonia, MI 48152-1477
Phone: (734) 884-5196
Fax: (248) 696-3175
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1637 Monroe St, Dearborn, MI 48124-2912 — (313) 757-0157
  • 13823 Cameron Ave, Southgate, MI 48195-3188 — (734) 775-7016

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 4704288276 (MI)
Nurse Practitioner Taxonomy 363L00000X · Licence 4704288276 (MI)

Record details

NPI number1104384106
Entity typeIndividual (Type 1)
GenderMale
Credentials CNP
Sole proprietorYes
NPI enumeratedMarch 8, 2019
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023
Mailing address24 Frank Lloyd Wright Drive, Suite J2000, Ann Arbor, MI 48105

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Iha Health Services Corporation — 1146 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

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