Active NPI
Gerald F Dominick, PA C
- Physician Assistant
- Chesapeake, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0110000927
- Practice address
- 113 Gainsborough SQ Ste 400
Chesapeake, VA 23320-1714 - Phone
- (757) 842-4499
- Fax
- (757) 842-4490
- NPI assigned
- Dec 19, 2005
- Last updated
- May 19, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0110000927 | VA | Primary |
| Physician Assistant | 363A00000X | PA102599 | MA | |
| Physician Assistant | 363A00000X | PA219354 | OR |
Addresses
Primary practice location
113 Gainsborough SQ Ste 400
Chesapeake, VA 23320-1714
Mailing address
667 Kingsborough SQ Ste 101
Chesapeake, VA 23320-4999
Phone (757) 842-4481
Other practice location 1
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-3278
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00318486 | Other | VA | RR MEDICARE |
| 10005129P | Other | VA | OPTIMA |
| 1861478216 | Medicaid | VA | |
| 139178 | Other | VA | BCBS |
| 10005129P | Other | VA | SENTARA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gdominick291247@samhealth.direct-ci.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, VT, OR, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 4
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 S Prospect St
Burlington, VT 05401-3456
Phone (802) 847-0000
111 Colchester Ave
Burlington, VT 05401-1473
Phone (802) 847-0000
113 Gainsborough SQ
Chesapeake, VA 23320-1714
300 Medical Pkwy
Chesapeake, VA 23320-4985
600 Gresham Dr
Norfolk, VA 23507-1904
736 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-6102
744 Battlefield Blvd N
Chesapeake, VA 23320-4941
Phone (757) 312-3132
830 Kempsville Rd
2B223
Norfolk, VA 23502-3920
Phone (757) 261-8860
850 Kempsville Rd
Norfolk, VA 23502-3920
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA102599 | MA | MD | Physician Assistant |
| PA219354 | OR | MD | Physician Assistant |
| 0110000927 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Sentara Medical Group | Current | Accepting new patients | |
| Chesapeake Regional Medical Group | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| University of Vermont Medical Center Inc | Current | Accepting new patients | |
| Chesapeake Regional Medical Group | Physician Assistant | Current | Accepting new patients |
Locations
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
815 NW 9th St
Ste 215
Corvallis, OR 97330
Phone (541) 768-1888
667 Kingsborough Sq
Ste 101
Chesapeake, VA 23320
Phone (757) 312-3132
736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124
300 Medical Pkwy
Chesapeake, VA 23320
Phone (757) 312-6102
113 Gainsborough Sq
Ste 400
Chesapeake, VA 23320
Phone (757) 436-0167
4000 Coliseum Dr
Ste 320
Hampton, VA 23666
Phone (757) 827-2350
850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162
830 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-6000
844 Kempsville Rd
Ste 212
Norfolk, VA 23502
Phone (757) 261-5977
600 Gresham Dr
#8600
Norfolk, VA 23507
Phone (757) 388-6005
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
1 S Prospect St
Burlington, VT 05401
Phone (802) 847-4531
Interoperability endpoints
- gerald.dominick.1@5072.direct.athenahealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Surgery Physician
- Chesapeake, VA
- NPI 1699940270
Physician Assistant
-
- Family Medicine Physician
- Norfolk, VA
- NPI 1265485270
-
dba Uvm Medical Center
- Internal Medicine Physician
- Burlington, VT
- NPI 1659309615
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
-
dba Good Samaritan Regional Medical Center
- General Acute Care Hospital
- Corvallis, OR
- NPI 1962453134
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
dba Southampton Orthopaedic and Sports Medicine Center
- Durable Medical Equipment & Medical Supplies
- Franklin, VA
- NPI 1205451028
-
dba Chesapeake Regional Urgent Care
- Urgent Care Clinic/Center
- Chesapeake, VA
- NPI 1255215133
-
dba Samaritan Occupational Medicine-Albany
- Internal Medicine Physician
- Albany, OR
- NPI 1063779205
-
dba Samaritan Gynecologic Oncology - Corvallis
- Gynecologic Oncology Physician
- Corvallis, OR
- NPI 1710787916
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chesapeake Regional Surgery Center at Virginia Beach
- General Acute Care Hospital
- Virginia Beach, VA
- NPI 1003265075
-
dba Chesapeake General Professional Pharmacy
- Pharmacy
- Chesapeake, VA
- NPI 1558466318
Hospital
-
dba Chesapeake General Hospital
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
-
- General Acute Care Hospital
- Burlington, VT
- NPI 1568419976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1861478216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "667 KINGSBOROUGH SQ STE 101",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233204999",
"telephone_number": "757-842-4481",
"fax_number": "757-466-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 GAINSBOROUGH SQ STE 400",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233201714",
"telephone_number": "757-842-4499",
"fax_number": "757-842-4490"
}
],
"practiceLocations": [
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-334-3278",
"fax_number": "508-334-7284",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DOMINICK",
"first_name": "GERALD",
"middle_name": "F",
"name_prefix": "Mr.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-19",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110000927",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MA",
"license": "PA102599",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA219354",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00318486",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "10005129P",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1861478216",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "139178",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "10005129P",
"state": "VA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gdominick291247@samhealth.direct-ci.com",
"affiliation": "N",
"address_1": "3640 NW Samaritan Dr Ste 120",
"city": "Corvallis",
"state": "OR",
"country_code": "US",
"postal_code": "973303738",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Chesapeake, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.