Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Dominador T. Perido MD PA

Organization Family Medicine Physician · NPI 1083725139

Dominador T. Perido MD PA provides Family Medicine Physician services in Elkhart, Kansas. Licensed in Kansas. Registered with an NPI since 2006.

Licensed in
KS
In the registry since
2006
Specialties on file
2
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

411 Sunset
Elkhart, KS 67950-0997 Not confirmed with CMS for 14 years — call before visiting
Phone: (620) 697-2155
Fax: (620) 697-4275
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence KS04-16343 (KS)
Family Medicine Physician Taxonomy 207Q00000X · Licence KS04-16343 (KS)

Record details

NPI number1083725139
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dominador Perido — Owner · (620) 697-2155
NPI enumeratedAugust 31, 2006
Last updated in NPPESJuly 27, 2012
Mailing addressPo Box 997, Elkhart, KS 67950-0997

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