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

Individual provider Diagnostic Radiology Physician · NPI 1942380902

Louis Domenico Jr., MD is an Interventional Radiology in Philadelphia, Pennsylvania. Graduated from State University of New York at Buffalo School of Medicine in 2000, 26 years ago. Practices with American Access Care of SP LLC, a 6-clinician group and accepts Medicare assignment. Licensed in New Jersey and Pennsylvania.

Years since qualifying
26
Trained at
State University of New York at Buffalo School of Medicine
Licensed in
NJ, PA
In the registry since
2006
Specialties on file
4
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

2412-14 W Passyunk Ave
Philadelphia, PA 19145-4114
Phone: (215) 462-2100
Fax: (215) 462-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence MD426532 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence MD426532 (PA)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 25MA08328500 (NJ)
Vascular & Interventional Radiology Physician Taxonomy 2085R0204X · Licence 25MA08328500 (NJ)

Record details

NPI number1942380902
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedOctober 16, 2006
Last updated in NPPESFebruary 18, 2021
Certification dateFebruary 18, 2021

Medicare enrollment

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

Medicare specialtyINTERVENTIONAL RADIOLOGY
Also practisesDIAGNOSTIC RADIOLOGY
Medical schoolSTATE UNIVERSITY OF NEW YORK AT BUFFALO SCHOOL OF MEDICINE
Graduated 2000 (26 years in practice)
Group practice American Access Care Of Sp Llc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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