Individual provider Active NPI

Thomas F Dominick, MD

  • Orthopaedic Surgery Physician
  • Lewisburg, PA
National Provider Identifier
1528028883
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD054208L Issued in PA
Practice address
210 JPM Rd Ste 300
Lewisburg, PA 17837-9367
Phone
(570) 524-4446
Fax
(570) 768-4623
NPI assigned
Mar 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Reconstructive Orthopaedic Surgery Physician 207XS0114X MD054208L PA
Orthopaedic Surgery Physician 207X00000X MD054208L PA Primary

Addresses

Primary practice location

210 JPM Rd Ste 300
Lewisburg, PA 17837-9367

Mailing address

1 Hospital Dr Ste 306
Lewisburg, PA 17837-9350
Phone (570) 522-4110

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100813000661 PA Practitioner - Orthopedic Surgery 6204826605 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Temple University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellspan Medical GroupGroup PAC ID 1951213115, 2,438 clinicians
Phoenix Rehabilitation and Health Services IncGroup PAC ID 3476464298, shared by 2 NPIs, 2,775 clinicians
Evangelical Medical Services OrganizationGroup PAC ID 9133033087, 255 clinicians

Practice addresses (Care Compare)

1 Hospital Dr
Lewisburg, PA 17837-9350
Phone (570) 522-4264

191 Roosevelt Ave
Suite 2000
Selinsgrove, PA 17870-7998
Phone (570) 524-4446

2000 Westinghouse Dr
Suite 200
Cranberry Township, PA 16066-5238

210 JPM Rd
Lewisburg, PA 17837-9367
Phone (570) 522-4299

25 Monument Rd
York, PA 17403-5073

289 S Market St
Elysburg, PA 17824-9737

Hospital & facility affiliations

  • Commonwealth Home Health & Hospice of Berwick Home health agency, Berwick, PA, CCN 397272
  • Wellspan Evangelical Community Hospital Hospital, Lewisburg, PA, CCN 390013
  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Geisinger Encompass Health Rehabilitation Hospital Inpatient rehabilitation facility, Danville, PA, CCN 393047

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement60
Knee replacement39
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD054208LPAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Evangelical Medical Services Organization Orthopaedic Surgery Current Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Wellspan Medical Group Current Accepting new patients
Evangelical Medical Services Organization CurrentSince Feb 10, 2014 Accepting new patients
Evangelical Medical Services Organization CurrentSince Feb 10, 2014 Accepting new patients
Wellspan Medical Group CurrentSince Dec 1, 2025 Accepting new patients
Evangelical Community Hospital Past Accepting new patients
Evangelical Community Hospital Past Accepting new patients
Wellspan Medical Group Past Accepting new patients
Evangelical Medical Services Organization Past Accepting new patients

Locations

289 S Market St
Elysburg, PA 17824
Phone (570) 672-9885

900 Buffalo Rd
Lewisburg, PA 17837
Phone (570) 522-1177

210 Jpm Rd
Ste 300
Lewisburg, PA 17837

3 Hospital Dr
Ste 318
Lewisburg, PA 17837
Phone (570) 522-1007

112 N 15th St
#1000
Lewisburg, PA 17837

1 Hospital Dr
Ste 306
Lewisburg, PA 17837
Phone (570) 522-4110

3 Hospital Dr
Ste 206
Lewisburg, PA 17837
Phone (570) 522-9771

112 N 15th St
#2000
Lewisburg, PA 17837
Phone (570) 522-0660

25 Lystra Rogers Dr
Lewisburg, PA 17837
Phone (570) 523-3290

191 Roosevelt Ave
Ste 2000
Selinsgrove, PA 17870

435 River Ave
Ste 2
Williamsport, PA 17701

435 River Ave
#1
Williamsport, PA 17701
Phone (800) 598-5096

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

1600 S George St
York, PA 17403
Phone (717) 848-3615

Interoperability endpoints

  • Direct secure messaging: tdominick485203@wellspan.direct-ci.com

Organizations & group practices 10

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 29

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

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654646400000",
    "number": "1528028883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DR STE 306",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379350",
            "telephone_number": "570-522-4110",
            "fax_number": "570-768-3911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 JPM RD STE 300",
            "city": "LEWISBURG",
            "state": "PA",
            "postal_code": "178379367",
            "telephone_number": "570-524-4446",
            "fax_number": "570-768-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMINICK",
        "first_name": "THOMAS",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0114X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
            "state": "PA",
            "license": "MD054208L",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "PA",
            "license": "MD054208L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisburg, PA

Sources for this page

Verify at the official NPI Registry.