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

Dr. Liezl Tersol Domingo, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1871880849

Dr. Liezl Tersol Domingo, MD is a Pediatric Medicine in Augusta, Georgia. Qualified in 2005, 21 years ago. Practices with University of Utah Pediatric Services, a 119-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
21
Licensed in
GA
In the registry since
2011
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

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Augusta, GA

No coordinates on file. Search this address in Google Maps

Additional practice locations (1)

  • 1740 W Taylor St, Chicago, IL 60612-7232 — (866) 600-2273

Specialties & licences

Pediatric Cardiology Physician (primary) Taxonomy 2080P0202X · Licence 079825 (GA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1871880849
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 28, 2011
Last updated in NPPESDecember 20, 2021
Certification dateDecember 20, 2021

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice University Of Utah Pediatric Services — 119 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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