Active NPI
Dominick Hanyok, DO
- Family Medicine Physician
- Du Bois, PA
National Provider Identifier
1821783283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 343256
- Practice address
- 145 Hospital Ave Ste 315
Du Bois, PA 15801-1465 - Phone
- (814) 503-4305
- Fax
- (814) 503-4307
- NPI assigned
- Apr 10, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OT022895 | PA | |
| Family Medicine Physician | 207Q00000X | 343256 | NY | Primary |
Addresses
Primary practice location
145 Hospital Ave Ste 315
Du Bois, PA 15801-1465
Mailing address
100 Hospital Ave
Du Bois, PA 15801-1440
Phone (814) 375-4200
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240308002476 | PA | Order and Referring Only - Family Practice | 8123464427 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Lake Erie College of Osteopathic Medicine, Erie, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Dubois Regional Medical Center
Practice addresses (Care Compare)
22 Industrial Park Rd
Brookville, PA 15825-7228
Phone (814) 849-0990
Hospital & facility affiliations
- Penn Highlands Dubois
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT022895 | PA | MD | Student in an Organized Health Care Education/Training Program |
Hospital & facility affiliations 28
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Maternal & Fetal Medicine Physician
- Du Bois, PA
- NPI 1033213608
Hospital
-
- General Acute Care Hospital
- Du Bois, PA
- NPI 1144249657
-
- Endocrinology, Diabetes & Metabolism Physician
- Du Bois, PA
- NPI 1245341387
Hospital
-
- General Acute Care Hospital
- Clearfield, PA
- NPI 1316537228
-
- Cardiovascular Disease Physician
- Punxsutawney, PA
- NPI 1407941305
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782345600000",
"number": "1821783283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL AVE",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011440",
"telephone_number": "814-375-4200",
"fax_number": "814-375-4232"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "145 HOSPITAL AVE STE 315",
"city": "DU BOIS",
"state": "PA",
"postal_code": "158011465",
"telephone_number": "814-503-4305",
"fax_number": "814-503-4307"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HANYOK",
"first_name": "DOMINICK",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-10",
"last_updated": "2026-06-25",
"certification_date": "2026-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OT022895",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "343256",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Du Bois, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.