Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dominic Xavier Romero, PA-C

Individual provider Physician Assistant · NPI 1356060693

Dominic Xavier Romero, PA-C is a Physician Assistant in Pocatello, Idaho. Qualified in 2024, 2 years ago. Practices with Paul D. Reicherter, MD, PC, a 14-clinician group and accepts Medicare assignment.

Years since qualifying
2
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

318 S 6th Ave
Pocatello, ID 83201-5809
Phone: (575) 993-2495
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1356060693
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 22, 2022
Last updated in NPPESAugust 30, 2024
Certification dateAugust 17, 2024

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Paul D. Reicherter, Md, Pc — 14 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Pocatello