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

Dr. David Domino, DO

Individual provider Surgery Physician · NPI 1609180694

Dr. David Domino, DO is an Emergency Medicine in Madison Heights, Michigan. Qualified in 2010, 16 years ago. Practices with Emergency Medicine Services of Ky LLC, a 41-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
16
Licensed in
MI
In the registry since
2010
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

27351 Dequindre Rd
Madison Heights, MI 48071-3487
Phone: (248) 967-7795
Fax: (248) 967-7794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 5101018774 (MI)

Record details

NPI number1609180694
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedAugust 2, 2010
Last updated in NPPESAugust 2, 2010
Mailing address27351 Dequindre Rd, Madison Heights, MI 48071-3487

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Emergency Medicine Services Of Ky Llc — 41 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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