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

Dr. Omar L Dominique, MD

Individual provider Family Medicine Physician · NPI 1770996050

Dr. Omar L Dominique, MD is a Family Practice in Gilbert, Arizona. Qualified in 2012, 14 years ago. Practices with Northwest Hbp Medical Services LLC, a 286-clinician group, works from 7 locations, accepts Medicare assignment and offers telehealth. Licensed in Arizona, Iowa, Illinois and Mississippi.

Years since qualifying
14
Licensed in
AZ, IA, IL, MS
In the registry since
2014
Specialties on file
6
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

1760 E Pecos Rd Ste 431
Gilbert, AZ 85295-3209
Phone: (480) 237-3451
Fax: (480) 499-5666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (6)

  • 801 5th St, Sioux City, IA 51101-1326 — (712) 279-2010
  • 4500 Memorial Dr, Belleville, IL 62226-5360 — (618) 257-6220
  • 2 S Hospital Dr, Murphysboro, IL 62966-3333 — (618) 684-3156
  • 406 Briarwood Dr Ste 401, Jackson, MS 39206-3063 — (601) 326-2300
  • 969 Lakeland Dr, Jackson, MS 39216-4606 — (601) 200-4880
  • 2500 N State St, Jackson, MS 39216-4500 — (601) 984-5426

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 59823 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence 59823 (AZ)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD-46257 (IA)
Family Medicine Physician Taxonomy 207Q00000X · Licence 926-L (MS)
Hospitalist Physician Taxonomy 208M00000X · Licence 036-144834 (IL)
Hospitalist Physician Taxonomy 208M00000X · Licence MD-46257 (IA)

Record details

NPI number1770996050
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 4, 2014
Last updated in NPPESJanuary 11, 2025
Certification dateJanuary 11, 2025

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Northwest Hbp Medical Services Llc — 286 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations4 on file with Medicare

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