Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Dr. Jerome Taymon Domzalski, MD

Diagnostic Radiology Physician in Peoria, IL · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1952539280

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Registry record

Entity type Individual (Type 1)

Name Dr. Jerome Taymon Domzalski

Credential MD

Sex Male

Practice address 530 Ne Glen Oak Ave, Peoria, IL, 61637

Phone (309) 655-2000

Enumeration date Jun 25, 2009

Last updated in NPPES Oct 23, 2023

Taxonomy & licenses

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License MD185931 (OR) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License MD60808674 (WA) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License M-14669 (ID) Secondary

2085R0202X Diagnostic Radiology Physician Allopathic & Osteopathic Physicians · License 036-164444 (IL) Primary

MD · Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential

Other identifiers

Identifier	Type	State	Issuer
0384868	Other	WA	LNI TRA-MINW, PS REST OF WA COUNTIES
0384886	Other	WA	LNI DINW
0408166	Other	WA	LNI RADIA REST OF WA
0384879	Other	WA	LNI TRA-MINW, PS KING COUNTY
0408173	Other	WA	LNI EVERGREEN RADIA
2094399	Medicaid	WA	-
0384883	Other	WA	LNI UAOM
0408171	Other	WA	LNI SWEDISH RADIA EDMONDS
0408174	Other	WA	LNI SOUTH SOUND RADIOLOGY
0408176	Other	WA	LNI SEATTLE RADIOLOGY
0408168	Other	WA	LNI RADIA KING COUNTY

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Jerome Domzalski's NPI record?

Cross-check NPI 1952539280 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1952539280 active?

Yes, as of the latest NPPES snapshot, NPI 1952539280 is active (record last updated 2023-10-23).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-10-23.