Individual provider Active NPI

Darrick Richard Dominick, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Monaca, PA
National Provider Identifier
1134583172
Registry record updated Dec 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006752 Issued in PA
Practice address
79 Wagner Rd Ste 103
Monaca, PA 15061-2338
Phone
(878) 439-3598
Fax
(878) 439-3599
NPI assigned
Apr 6, 2016
Last updated
Dec 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X POD.0000859 CO
Foot & Ankle Surgery Podiatrist 213ES0103X SC006752 PA Primary

Addresses

Primary practice location

79 Wagner Rd Ste 103
Monaca, PA 15061-2338

Mailing address

79 Wagner Rd Ste 103
Monaca, PA 15061-2338
Phone (878) 439-3598

Other practice location 1

145 W 23rd St Ste 302A
Erie, PA 16502-2858
Phone (814) 835-3751

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, PA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190730000740 NM Practitioner - Podiatry 5496039836 Reassigns benefits to 1 organization
I20210907000079 PA Practitioner - Podiatry 5496039836 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-6403

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006752PAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
New Mexico Bone and Joint Institute PC Foot & Ankle Surgery CurrentSince Aug 1, 2019 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Jan 1, 2024 Accepting new patients
Heritage Valley Multispecialty Group, Inc. Foot & Ankle Surgery CurrentSince Jan 1, 2024 Accepting new patients
St Vincent Medical Education and Research Institute Inc CurrentSince Aug 1, 2021 Accepting new patients
New Mexico Bone and Joint Institute PC Foot & Ankle Surgery CurrentSince Aug 1, 2019 Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients

Locations

2301 Indian Wells Rd
Ste A
Alamogordo, NM 88310
Phone (505) 434-0639

155 E State St
Albion, PA 16401
Phone (814) 756-4917

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

145 W 23rd St
Ste 302A
Erie, PA 16502
Phone (814) 835-3751

79 Wagner Rd
Ste 103
Monaca, PA 15061
Phone (878) 439-3598

2201 Park Manor Blvd
Pittsburgh, PA 15205
Phone (412) 749-6920

Interoperability endpoints

  • Direct secure messaging: darrickdominick@hvhs.allscriptsdirect.net

Organizations & group practices 6

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

Hospital & facility affiliations 3

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701820800000",
    "number": "1134583172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 WAGNER RD STE 103",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612338",
            "telephone_number": "878-439-3598",
            "fax_number": "878-439-3599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79 WAGNER RD STE 103",
            "city": "MONACA",
            "state": "PA",
            "postal_code": "150612338",
            "telephone_number": "878-439-3598",
            "fax_number": "878-439-3599"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 W 23rd St Ste 302A",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165022858",
            "country_code": "US",
            "telephone_number": "814-835-3751",
            "fax_number": "814-835-3755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DOMINICK",
        "first_name": "DARRICK",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2023-12-06",
        "certification_date": "2023-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "POD.0000859",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC006752",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monaca, PA

Sources for this page

Verify at the official NPI Registry.