Individual provider Active NPI

Cameron Stewart Domblisky, PA-C

  • Physician Assistant
  • Monroeville, PA
National Provider Identifier
1992486849
Registry record updated Mar 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA065035 Issued in PA
Practice address
2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone
(412) 858-2000
NPI assigned
Jul 25, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2026

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 MA065035 PA Primary

Addresses

Primary practice location

2570 Haymaker Rd
Monroeville, PA 15146-3513

Mailing address

3824 Northern Pike
Suite 525
Monroeville, PA 15146-3531
Phone (412) 373-6666

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
I20240131000427 PA Practitioner - Physician Assistant 7315390903 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premier Medical Associates PCGroup PAC ID 9830003235, 104 clinicians
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

2570 Haymaker Rd
Monroeville, PA 15146-3513
Phone (412) 858-7618

3824 Northern Pike
Monroeville, PA 15146-2175

3824 Northern Pike
Suite 200
Monroeville, PA 15146-2173
Phone (412) 380-2800

3824 Northern Pike
Suite 525
Monroeville, PA 15146-2177
Phone (412) 373-6666

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
MA065035PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates, PC CurrentSince Dec 20, 2023 Accepting new patients
Premier Medical Associates PC CurrentSince Dec 20, 2023 Accepting new patients

Locations

6321 State Route 30
Ste 200
Greensburg, PA 15601
Phone (412) 373-6666

2570 Haymaker Rd
Monroeville, PA 15146
Phone (412) 858-2000

3824 Northern Pike
Ste 200
Monroeville, PA 15146
Phone (412) 380-2800

3824 Northern Pike
Ste 525
Monroeville, PA 15146
Phone (412) 373-6666

3824 Northern Pike
Ste 300
Monroeville, PA 15146
Phone (412) 856-5335

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

Interoperability endpoints

  • Direct secure messaging: cdomblisky763982@direct.ahn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1690243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774569600000",
    "number": "1992486849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE",
            "address_2": "SUITE 525",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463531",
            "telephone_number": "412-373-6666",
            "fax_number": "412-373-4595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2570 HAYMAKER RD",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151463513",
            "telephone_number": "412-858-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOMBLISKY",
        "first_name": "CAMERON",
        "middle_name": "STEWART",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-07-25",
        "last_updated": "2026-03-27",
        "certification_date": "2026-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroeville, PA

Sources for this page

Verify at the official NPI Registry.