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

Dr. Mary Ann R Domingo, MD

Individual provider Rheumatology Physician · NPI 1053396127

Dr. Mary Ann R Domingo, MD is a Rheumatology in Granger, Indiana. Qualified in 1994, 32 years ago. Practices with Memorial Hospital of South Bend, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
32
Licensed in
IN
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

6901 N Main St Ste 102
Granger, IN 46530-8022
Phone: (574) 647-4500
Fax: (574) 647-6354
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3220 Beacon Pkwy, Granger, IN 46530-7196 — (574) 999-8788

Specialties & licences

Rheumatology Physician (primary) Taxonomy 207RR0500X · Licence 01061323A (IN)

Record details

NPI number1053396127
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedDecember 13, 2005
Last updated in NPPESAugust 7, 2025
Certification dateAugust 7, 2025

Medicare enrollment

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

Medicare specialtyRHEUMATOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Memorial Hospital Of South Bend — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Granger