Individual provider Active NPI

Imad Domat, MD

  • Cardiovascular Disease Physician
  • Pittsburgh, PA
National Provider Identifier
1023012457
Registry record updated Mar 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD038902L Issued in PA
Practice address
532 S Aiken Ave Ste 411
Pittsburgh, PA 15232-1521
Phone
(412) 681-3140
Fax
(412) 681-2561
NPI assigned
Jun 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD038902L PA
Cardiovascular Disease Physician 207RC0000X MD038902L PA Primary

Addresses

Primary practice location

532 S Aiken Ave Ste 411
Pittsburgh, PA 15232-1521

Mailing address

125 Daugherty Dr Ste 301
Monroeville, PA 15146-2749
Phone (412) 856-4666

Other practice location 1

100 Delafield Rd Ste 103
Pittsburgh, PA 15215-3247
Phone (412) 681-3141

Other practice location 2

125 Daugherty Dr Ste 301
Monroeville, PA 15146-2749
Phone (412) 856-4666

Other identifiers 2

IdentifierTypeStateIssuer
0209797000MedicaidWV
0014146930007MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101122001029 PA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 4284615667 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Interventional Cardiology
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialists in Cardiovascular Medicine PCGroup PAC ID 9234110685, 6 clinicians

Practice addresses (Care Compare)

125 Daugherty Dr
Suite 301
Monroeville, PA 15146-2749
Phone (412) 856-4666

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.86 of 100Reported as group
Quality
74.72
Improvement activities
40
Cost
79.92

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting23

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD038902LPAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialists in Cardiovascular Medicine, PC Cardiovascular Disease CurrentSince Oct 1, 2019 Accepting new patients
Shadyside Cardiology Rotation PC PastSince Jun 1, 2004 Accepting new patients
Upmc Presbyterian Shadyside Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

125 Daugherty Dr
Ste 301
Monroeville, PA 15146
Phone (412) 856-2090

532 S Aiken Ave
Ste 411
Pittsburgh, PA 15232
Phone (412) 681-3140

100 Delafield Rd
Ste 103
Pittsburgh, PA 15215
Phone (412) 622-4313

5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167

Interoperability endpoints

  • Direct secure messaging: idomat@specialists.medentdirect.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 10

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710460800000",
    "number": "1023012457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 DAUGHERTY DR STE 301",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462749",
            "telephone_number": "412-856-4666",
            "fax_number": "412-856-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 S AIKEN AVE STE 411",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152321521",
            "telephone_number": "412-681-3140",
            "fax_number": "412-681-2561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Delafield Rd Ste 103",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "152153247",
            "country_code": "US",
            "telephone_number": "412-681-3141",
            "fax_number": "412-681-2561",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "125 Daugherty Dr Ste 301",
            "address_purpose": "LOCATION",
            "city": "Monroeville",
            "state": "PA",
            "postal_code": "151462749",
            "country_code": "US",
            "telephone_number": "412-856-4666",
            "fax_number": "412-856-6907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMAT",
        "first_name": "IMAD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2024-03-15",
        "certification_date": "2024-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD038902L",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD038902L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0209797000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0014146930007",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.