Jerome Domzalski, MD
NPI 1952539280 · Diagnostic Radiology Physician · Peoria, IL
Enrolled with Medicare as Practitioner - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jerome Domzalski, MD is a Diagnostic Radiology Physician provider in Peoria, IL (NPI 1952539280).
Provider details
- NPI number
- 1952539280
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MD185931 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
16 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
936 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 202 | $84 |
| Ct Scan Head Or Brain Without Contrast70450 | 180 | $39 |
| Ultrasound Study of One Arm Or Leg Veins With Compression and Maneuvers93971 | 139 | $20 |
| Ultrasound Study of Arm Or Leg Veins With Compression and Maneuvers93970 | 100 | $32 |
| Ct Scan of Abdomen and Pelvis Without Contrast74176 | 98 | $80 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine77080 |
Practice location
Mailing address
Additional practice locations (1)
- 19020 33rd Ave W Ste 210Lynnwood, WA 98036-4748Phone: (425) 563-1500Fax: (425) 563-1501
Registry dates
- Enumerated
- 2009-06-25
- Last updated
- 2023-10-23
- Certified
- 2023-10-23
Frequently asked questions
- What is Jerome Domzalski's NPI number?
- Jerome Domzalski's National Provider Identifier (NPI) is 1952539280, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jerome Domzalski's specialty?
- Jerome Domzalski is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Jerome Domzalski located?
- Jerome Domzalski's practice location on file with NPPES is 530 Ne Glen Oak Ave, Peoria, IL 61637-4748.
- What is Jerome Domzalski's phone number?
- The practice phone number listed in the NPPES registry for Jerome Domzalski is (309) 655-2000.
- Does Jerome Domzalski accept Medicare?
- Jerome Domzalski is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jerome Domzalski's NPI active?
- Yes — Jerome Domzalski's NPI (1952539280) is active in the NPPES registry as of the last update on 2023-10-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.