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

Dr. Vitaliy Domashevich, MD

Individual provider Anesthesiology Physician · NPI 1235165440

Dr. Vitaliy Domashevich, MD is an Anesthesiology in Centennial, Colorado. Qualified in 1993, 33 years ago. Practices with Kauai Medical Clinic, a 150-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Colorado and Maine.

Years since qualifying
33
Licensed in
CO, ME
In the registry since
2006
Specialties on file
3
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

14100 E Arapahoe Rd Ste B110
Centennial, CO 80112-4028
Phone: (720) 870-7446
Fax: (720) 870-7460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22 Bramhall St, Portland, ME 04102-3134 — (207) 482-7800

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 041756 (CO)
Anesthesiology Physician Taxonomy 207L00000X · Licence MD28222 (ME)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 41756 (CO)

Record details

NPI number1235165440
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 23, 2006
Last updated in NPPESMay 3, 2024
Certification dateMay 3, 2024

Medicare enrollment

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

Medicare specialtyANESTHESIOLOGY
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Kauai Medical Clinic — 150 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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