Individual provider Active NPI

Dom N Acharya, PA-C

  • Physician Assistant
  • Harrisburg, PA
National Provider Identifier
1649793159
Registry record updated Dec 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA059150 Issued in PA
Practice address
110 S 17TH St
Harrisburg, PA 17104-1123
Phone
(717) 232-9971
NPI assigned
Jul 18, 2017
Last updated
Dec 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA059150 PA Primary

Addresses

Primary practice location

110 S 17TH St
Harrisburg, PA 17104-1123

Mailing address

110 S 17TH St
Harrisburg, PA 17104-1123
Phone (717) 232-9971

Other practice location 1

201 State St
Erie, PA 16550-0002
Phone (814) 877-4922

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL dacharya@hamiltonhealthcenter.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170829004086 PA Practitioner - Physician Assistant 2668745449 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA059150PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Health Center, Inc. CurrentSince Aug 17, 2025 Accepting new patients
Hamilton Health Center, Inc CurrentSince Aug 17, 2025 Accepting new patients
CRHS@ Hamilton Health Center Past Accepting new patients

Locations

110 S 17th St
Harrisburg, PA 17104
Phone (717) 230-3906

46 Red Hill Ct
Newport, PA 17074
Phone (717) 567-3151

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1500336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670457600000",
    "number": "1649793159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-232-9971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 S 17TH ST",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041123",
            "telephone_number": "717-232-9971"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 State St",
            "address_purpose": "LOCATION",
            "city": "Erie",
            "state": "PA",
            "postal_code": "165500002",
            "country_code": "US",
            "telephone_number": "814-877-4922",
            "fax_number": "814-877-3622",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACHARYA",
        "first_name": "DOM",
        "middle_name": "N",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-07-18",
        "last_updated": "2022-12-08",
        "certification_date": "2022-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA059150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "dacharya@hamiltonhealthcenter.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "110 S 17th St",
            "city": "Harrisburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "171041123",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

Verify at the official NPI Registry.