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Erin Domachowski , MS, RD, LDN

Dietitian, Registered β€’ Irving, TX

Active NPI 1013654318 Individual Practitioner Female Practitioner Accepts Medicare assignment Telehealth (some services)
Practice location in NPPES

2701 E Grauwyler Rd Ste T1-1126
Irving, TX 750613414

Call 7343181967 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

2701 E Grauwyler Rd Ste T1-1126

Irving, TX 750613414

Telephone 7343181967
Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: Surely Health Inc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2013

Years since graduation

13 years (graduated 2013)

CMS Doctors and Clinicians data list 2013 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2022

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

Telehealth (some services)

Recent Medicare claims show this clinician provided some services by telehealth, such as a video or phone visit.

What this does not show: Telehealth (some services)

It does not mean all services are offered by telehealth, or that telehealth is covered by your plan.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Erin Domachowski has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Compared with the same specialty in Irving and Texas

34 active clinicians are listed under Dietitian, Registered with a practice address in Irving, TX (5,100 in Texas).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Irving

8.8% of these 34 clinicians have the CMS telehealth indicator.

20.6% of these 34 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-06-07
Dietitian, Registered Primary Specialty

NUCC Taxonomy Code: 133V00000X

License # reported to NPPES PA DN005400

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Texas Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - REGISTERED DIETITIAN OR NUTRITION PROFESSIONAL

Medicare Enrollment ID

I20251114001515

Enrollment State Jurisdiction

AR

PECOS Control ID

3072960400

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Surely Health Inc

3480 Preston Ridge Rd, Alpharetta, GA 300055460

Phone: 4122874983

Surely Health Inc

6565 N Macarthur Blvd, Irving, TX 750392482

Phone: 8888074117

Surely Health Inc

130 E Congress St, Tucson, AZ 857011708

Phone: 7243075926

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

9 Historical Events
πŸ“
Updated Practice Location June 07, 2024

Registered at 2701 E GRAUWYLER RD STE T1-1126, IRVING, TX 750613414 (Tel: 7343181967)

πŸ“
Updated Business Mailing Address June 07, 2024

Registered at 1003 LONG POINT DR, ERIE, PA 165055415 (Tel: 7343181967)

πŸ‘€
Provider Name / Credentials Updated June 07, 2024

Recorded as ERIN DOMACHOWSKI, MS, RD, LDN

βœ…
NPI Profile Active May 18, 2022

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) May 18, 2022

Registered at 994 KUSHON LN, FREEPORT, PA 162291768 (Tel: 8145736914)

πŸ“
Business Mailing Address (Initial Record) May 18, 2022

Registered at 994 KUSHON LN, FREEPORT, PA 162291768 (Tel: 8145736914)

πŸ‘€
Provider Name / Credentials (Initial Record) May 18, 2022

Recorded as ERIN DOMACHOWSKI, RD

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) May 18, 2022

Dietitian, Registered (license number reported to NPPES: PA DN005400)

🟒
Initial NPI Registration & Enumeration May 18, 2022

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1013654318
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 18, 2022
Last Update: June 07, 2024
Sole Proprietor: No

Mailing Address

1003 Long Point Dr

Erie, PA 165055415

Phone: 7343181967

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.