Active NPI
Darrick Richard Dominick, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Monaca, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC006752
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 2
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
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal of nail tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC006752 | PA | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | 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 | |
| Heritage Valley Multispecialty Group, Inc. | Foot & Ankle Surgery | 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
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
- 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.
-
- Internal Medicine Physician
- Beaver, PA
- NPI 1528015401
Foot & Ankle Surgery
-
- Internal Medicine Physician
- Erie, PA
- NPI 1902881477
-
- Foot & Ankle Surgery Podiatrist
- Alamogordo, NM
- NPI 1942251434
-
- Family Medicine Physician
- Aliquippa, PA
- NPI 1518435981
-
- Foot & Ankle Surgery Podiatrist
- Las Cruces, NM
- NPI 1003362807
-
dba HVMG The Heart & Vascular Center Beaver
- Cardiovascular Disease Physician
- Beaver, PA
- NPI 1003068891
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Valley Medical Facilities Inc dba Heritage Valley Beaver
- General Acute Care Hospital
- Beaver, PA
- NPI 1063422053
-
dba The Medical Center, Beaver, Family Practice Center
- General Acute Care Hospital
- Beaver Falls, PA
- NPI 1306989983
-
dba Sewickley Valley Hospital, Staunton Clinic
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Sewickley, PA
- NPI 1528101458
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.