NPIMap

Individual provider Active NPI

Domingo CP Favale

  • Urology Physician
  • Cortlandt Manor, NY
National Provider Identifier
1801818760
Registry record updated Aug 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
MD478550 Issued in PA
Practice address
1985 Crompond Rd
BLDG D
Cortlandt Manor, NY 10567-4146
Phone
(914) 739-1219
Fax
(914) 739-2353
NPI assigned
Jul 23, 2006
Last updated
Aug 25, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 157064 NY
Urology Physician 208800000X MD478550 PA Primary

Addresses

Primary practice location

1985 Crompond Rd
BLDG D
Cortlandt Manor, NY 10567-4146

Mailing address

2649 Strang Blvd Ste 304
Yorktown Heights, NY 10598-2938
Phone (914) 739-0087

Other practice location 1

815 Sir Thomas Ct Ste 200
Harrisburg, PA 17109-4839
Phone (717) 724-0720

Other identifiers 3

IdentifierTypeStateIssuer
13769OtherNYAETNA HMO
01360925MedicaidNY
WS548OtherNYOXFORD

Other names 1

  • Dominic Favale Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dfavalerocco287032@upmc.direct-ci.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20070809000073 NY Practitioner - Urology 5991896722 Reassigns benefits to 1 organization
I20220715000744 PA Practitioner - Urology 5991896722 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Pittsburgh PhysiciansGroup PAC ID 8729990239, 4,166 clinicians

Practice addresses (Care Compare)

2 Hot Meal St
Pittsburgh, PA 15203-2348

620 Howard Ave
Altoona, PA 16601-4804
Phone (814) 889-2328

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

Merit-based Incentive Payment System (MIPS)

Final score
80.94 of 100Reported as group
Quality
61.89
Promoting interoperability
100
Improvement activities
40
Cost
74.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
157064NYMDUrology Physician
MD478550PAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Westchester Medical Practice, PC CurrentSince Dec 1, 2016 Accepting new patients
University of Pittsburgh Physicians CurrentSince Feb 4, 2023 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 15, 2023 Accepting new patients
University of Pittsburgh Physicians Urology CurrentSince Feb 4, 2023 Accepting new patients
St. Luke's Physician Group, Inc. CurrentSince May 1, 2022 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince May 1, 2022 Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
The Westchester Medical Practice, PC CurrentSince Dec 1, 2016 Accepting new patients
Pinnacle Health Medical Services CurrentSince Apr 15, 2023 Accepting new patients
Keystone Kidney Associates, PC PastSince Mar 12, 2024 Accepting new patients
East Hudson Urology Group PC Urology Past Accepting new patients
Docs Physicians Affiliated With Bimc Urology Past Accepting new patients

Locations

672 Stoneleigh Ave
Ste C110
Carmel, NY 10512
Phone (845) 230-2377

1980 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 734-3600

1985 Crompond Rd
Cortlandt Mnr, NY 10567
Phone (914) 736-0703

1985 Crompond Rd
Bldg D
Cortlandt Mnr, NY 10567
Phone (914) 739-1219

1985 Crompond Rd
Bldg E
Cortlandt Mnr, NY 10567
Phone (914) 233-3022

222 Westchester Ave
Ste G1
White Plains, NY 10604
Phone (877) 465-4845

2649 Strang Blvd
Ste 304
Yorktown Heights, NY 10598
Phone (646) 745-6369

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

815 Sir Thomas Ct
Ste 200
Harrisburg, PA 17109
Phone (717) 724-0720

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

300 Halket St
Ste 5200
Pittsburgh, PA 15213
Phone (412) 641-7850

Interoperability endpoints

  • Direct secure messaging: dfavale@direct.health-quest.org
  • Direct secure messaging: dfavalerocco287032@upmc.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 32

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

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1153612800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1801818760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2649 STRANG BLVD STE 304",
            "city": "YORKTOWN HEIGHTS",
            "state": "NY",
            "postal_code": "105982938",
            "telephone_number": "914-739-0087",
            "fax_number": "914-737-1714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 CROMPOND RD",
            "address_2": "BLDG D",
            "city": "CORTLANDT MANOR",
            "state": "NY",
            "postal_code": "105674146",
            "telephone_number": "914-739-1219",
            "fax_number": "914-739-2353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "815 Sir Thomas Ct Ste 200",
            "address_purpose": "LOCATION",
            "city": "Harrisburg",
            "state": "PA",
            "postal_code": "171094839",
            "country_code": "US",
            "telephone_number": "717-724-0720",
            "fax_number": "717-724-0730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAVALE",
        "first_name": "DOMINGO",
        "middle_name": "CP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-23",
        "last_updated": "2026-08-25",
        "certification_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "NY",
            "license": "157064",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "PA",
            "license": "MD478550",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "13769",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01360925",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "WS548",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dfavalerocco287032@upmc.direct-ci.com",
            "affiliation": "N",
            "address_1": "600 Grant St",
            "address_2": "Floor 58",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152192702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DOMINIC",
            "last_name": "FAVALE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cortlandt Manor, NY

Sources for this page

Verify at the official NPI Registry.