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

Dr. Damian Jerzy Domanski, MD

Individual provider Cardiovascular Disease Physician · NPI 1508012030

Dr. Damian Jerzy Domanski, MD is an Internal Medicine in Salt Lake City, Utah. Qualified in 1997, 29 years ago. Practices with Mountainstar Cardiology St Marks LLC, a 42-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Utah.

Years since qualifying
29
Licensed in
UT
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1160 E 3900 S Ste 2000
Salt Lake City, UT 84124-1236
Phone: (801) 266-3418
Fax: (801) 266-4174
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 74 E Kimballs Ln Ste 330, Draper, UT 84020-5006 — (801) 266-3418

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 11493948-1205 (UT)

Record details

NPI number1508012030
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 15, 2008
Last updated in NPPESJanuary 4, 2022
Certification dateAugust 10, 2020

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Group practice Mountainstar Cardiology St Marks Llc — 42 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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