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

Dr. Jason Glenn Domina, MD

Individual provider Diagnostic Radiology Physician · NPI 1952530974

Dr. Jason Glenn Domina, MD is a Diagnostic Radiology in McHenry, Illinois. Graduated from Wayne State University School of Medicine in 2009, 17 years ago. Practices with Baptist Health Medical Group Inc, a 2,445-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Michigan.

Years since qualifying
17
Trained at
Wayne State University School of Medicine
Licensed in
IL, MI
In the registry since
2009
Specialties on file
2
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

4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone: (815) 334-5566
Fax: (815) 759-4008
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1500 E Medical Center Dr, Ann Arbor, MI 48109-5030 — (734) 936-4566

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036159775 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301094862 (MI)

Record details

NPI number1952530974
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 12, 2009
Last updated in NPPESNovember 9, 2023
Certification dateNovember 9, 2023

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2009 (17 years in practice)
Group practice Baptist Health Medical Group Inc — 2445 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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