OrganizationActive
Douglass T. Domoto, M.D., J.d., P.C.
NPI 1124337373 · Nephrology Physician · Saint Louis, MO
Provider details
- NPI number
- 1124337373
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Douglass Domoto, President(314) 535-3720
- License
- R6C21 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(83/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2606 Clark Ave
Ave
Saint Louis, MO 63103-2502
Phone: (314) 535-3720
Fax: (314) 535-7391
Street-level locationGet directions
Mailing address
2606 Clark Ave
Saint Louis, MO 63103-2502
Registry dates
- Enumerated
- 2010-10-05
- Last updated
- 2010-10-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.