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

Kristine Domingo

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1922426147

Kristine Domingo is a Neurology in Minneapolis, Minnesota. Graduated from Kansas City College of Medicine and Surgery in 2014, 12 years ago. Practices with Healtheast Medical Research Institute, a 678-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota and Missouri.

Years since qualifying
12
Trained at
Kansas City College of Medicine and Surgery
Licensed in
MN, MO
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

909 Fulton St SE
Minneapolis, MN 55455-4800
Phone: (126) 672-7422
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Neurology Physician (primary) Taxonomy 2084N0400X · Licence 64009 (MN)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (MO)

Record details

NPI number1922426147
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2014
Last updated in NPPESJanuary 24, 2019
Mailing address909 Fulton St Se, Minneapolis, MN 55455-4800

Medicare enrollment

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

Medicare specialtyNEUROLOGY
Medical schoolKANSAS CITY COLLEGE OF MEDICINE AND SURGERY
Graduated 2014 (12 years in practice)
Group practice Healtheast Medical Research Institute — 678 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations6 on file with Medicare

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