Darrick Richard Dominick, D.P.M.

Individual provider Active NPI Foot & Ankle Surgery Podiatrist · Monaca, PA

NPI 1134583172 · NPPES record last updated Dec 6, 2023

Key facts

NPI
1134583172
Entity type
Individual (NPI type 1)
Primary specialty
Foot & Ankle Surgery Podiatrist 213ES0103X
License
SC006752 (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
Sex
Male
Sole proprietor
No

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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

Medicare Care Compare profile

Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Valley Multispecialty Group Inc (229 clinicians)

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

  • Heritage Valley Beaver Hospital · Beaver, PA · CCN 390036

Procedures performed for Medicare patients

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in NM, PA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: No · Hospice: Yes

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
POD.0000859COMDFoot & Ankle Surgery Podiatrist

Practice roles

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

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

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

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

Specialties & licenses

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

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

Other providers in Monaca, PA

All providers in Monaca, PA · Foot & Ankle Surgery Podiatrist in Pennsylvania

Sources for this page

Verify at the official NPI Registry.