DR. JASON GLENN DOMINA M.D. NPI 1952530974

NPI Information

  • NPI: 1952530974
  • Provider Name: DR. JASON GLENN DOMINA, M.D.
  • Classification: Radiology - 2085R0202X
  • Specialization: Diagnostic Radiology
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 4201 W MEDICAL CENTER DR
    MCHENRY, IL
    ZIP 60050
  • Phone: (815) 334-5566

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NPI Details

DR. Jason Glenn Domina, M.D. is a diagnostic radiology radiology in Mchenry, IL with 16 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. DR. Jason Glenn Domina, M.D. NPI is 1952530974. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: WAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2009

The provider's business location address is:

4201 W MEDICAL CENTER DR
MCHENRY, IL
ZIP 60050-409
Phone: (815) 334-5566
Fax: (815) 759-4008

The NPI 1952530974 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of chest with contrast (HCPCS:71260)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
  • Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Nuclear medicine study from skull base to mid-thigh with ct scan (HCPCS:78815)
  • Review by radiologist of ct guidance for needle placement (HCPCS:77012)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ct scan of abdomen and pelvis before and after contrast (HCPCS:74178)
  • Ct scan of chest without contrast (HCPCS:71250)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Mri scan of abdomen before and after contrast (HCPCS:74183)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • X-ray of chest, 1 view (HCPCS:71045)
  • Ct scan of abdomen with contrast (HCPCS:74160)
  • X-ray of chest, 2 views (HCPCS:71046)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)
  • Core needle biopsy of lung or center cavity of chest (mediastinum), accessed through skin (HCPCS:32408)
  • Ct scan of chest before and after contrast (HCPCS:71270)
  • Mri scan of pelvis before and after contrast (HCPCS:72197)
  • Ct scan head or brain without contrast (HCPCS:70450)
  • Nuclear medicine study whole body with ct scan (HCPCS:78816)

The enumeration date for this NPI number is 7/12/2009 and was last updated on 11/9/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085R0202XRadiologyDiagnostic Radiology4301094862MICHIGANNo
22085R0202XRadiologyDiagnostic Radiology036159775ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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