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
Hospital & facility affiliations 3
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
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| POD.0000859 | CO | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Heritage Valley Multispecialty Group, Inc. | Foot & Ankle Surgery | Current |
Accepting new patients |
| New Mexico Bone and Joint Institute PC | Foot & Ankle Surgery | Current |
Accepting new patients |
| Heritage Valley Multispecialty Group, Inc. | Current |
Accepting new patients | |
| St Vincent Medical Education and Research Institute Inc | Current |
Accepting new patients | |
| New Mexico Bone and Joint Institute PC | Foot & Ankle Surgery | Current |
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
- darrickdominick@hvhs.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
- Michael A. Dechellis
- Melissa A Deluigi
- Donald J Dennison II
- Kristin Dietrich
- Adam D Dolan
- Amy Bates Donis
- Dr. Harry B. Burke and Associates, PC
- Dr. Robert V. Serych, Jr. & Associates, P.C.
- Joseph Michael Dragonjac
- Michael Francis Dragonjac
All providers in Monaca, PA · Foot & Ankle Surgery Podiatrist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 6, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.