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

Dr. Michael Matthew Dominello, DO

Individual provider Radiation Oncology Physician · NPI 1003135500

Dr. Michael Matthew Dominello, DO is a Radiation Oncology in Detroit, Michigan. Qualified in 2010, 16 years ago. Practices with University Physician Group, a 402-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

4100 John R
Detroit, MI 48201-2013
Phone: (800) 527-6266
Fax: (313) 576-9640
Show map & directions

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

Specialties & licences

Radiation Oncology Physician (primary) Taxonomy 2085R0001X · Licence 5101019388 (MI)

Record details

NPI number1003135500
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMay 24, 2010
Last updated in NPPESJuly 28, 2015
Mailing address1560 E Maple Rd, Suite 400 - Credentialing Department, Troy, MI 48083-1138

Medicare enrollment

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

Medicare specialtyRADIATION ONCOLOGY
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice University Physician Group — 402 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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