NPIMap

Individual provider Active NPI

Christopher Anthony Domarew, M.D.,PHARMD, RPH

  • Internal Medicine Physician
  • Wellsboro, PA
National Provider Identifier
1174839849
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD450417 Issued in PA
Practice address
103 West Ave
Wellsboro, PA 16901-1358
Phone
(570) 723-0104
Fax
(570) 723-0118
NPI assigned
Aug 19, 2010
Last updated
Feb 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD450417 PA Primary

Addresses

Primary practice location

103 West Ave
Wellsboro, PA 16901-1358

Mailing address

32-36 Central Ave
Wellsboro, PA 16901-1840
Phone (570) 724-3744

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address christopher.a.domarew@upmcdirect.com Health Information Exchange (HIE)

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141205000155 PA Practitioner - Internal Medicine 5193948453 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Upmc WellsboroGroup PAC ID 5294710414, shared by 4 NPIs, 22 clinicians
Susquehanna Physician ServicesGroup PAC ID 2264336460, shared by 32 NPIs, 611 clinicians

Practice addresses (Care Compare)

103 W Ave
Suite 203 Office of Internal Medicine a de
Wellsboro, PA 16901-1358
Phone (570) 724-3744

416 S Main St
Mansfield, PA 16933-1510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.37 of 100Reported as group
Quality
86.43
Promoting interoperability
100
Improvement activities
40
Cost
44.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine, Doctor of Pharmacy, Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
MD450417PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Wellsboro Internal Medicine CurrentSince Jun 9, 2019 Accepting new patients
Upmc Wellsboro CurrentSince Jun 9, 2019 Accepting new patients
Ucmg LLC CurrentSince Mar 11, 2025 Accepting new patients
Upmc Wellsboro Past Accepting new patients

Locations

600 Grant St
Fl 58
Pittsburgh, PA 15219
Phone (412) 692-4506

103 West Ave
Wellsboro, PA 16901
Phone (570) 724-1010

103 West Ave
Ste 203
Wellsboro, PA 16901
Phone (570) 724-3744

15 Meade St
Ste L1
Wellsboro, PA 16901
Phone (570) 723-0637

32-36 Central Ave
Wellsboro, PA 16901
Phone (570) 723-0100

32-36 Central Ave
Ofc
Wellsboro, PA 16901

9 Water St
Ofc Of
Wellsboro, PA 16901
Phone (570) 724-2325

Interoperability endpoints

  • Direct secure messaging: cdomarew77906@upmc.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Family HospiceWilliamsport, PA, CCN 391513 Hospice W-2 Managing Employee Dec 1, 2024

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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 41

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

View all 41

NPI Registry JSON

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1174839849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32-36 CENTRAL AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011840",
            "telephone_number": "570-724-3744",
            "fax_number": "570-724-2459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 WEST AVE",
            "city": "WELLSBORO",
            "state": "PA",
            "postal_code": "169011358",
            "telephone_number": "570-723-0104",
            "fax_number": "570-723-0118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMAREW",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "M.D.,PHARMD, RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-19",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD450417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "christopher.a.domarew@upmcdirect.com",
            "affiliation": "N",
            "endpointDescription": "secure UPMC direct address",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "600 Grant St Fl 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wellsboro, PA

Sources for this page

Verify at the official NPI Registry.