DOMENIQUE DICELLO WARD PA-C
NPI 1548772460
Physician Assistant - Surgical in Jefferson Hills, PA
About Domenique Dicello Ward Pa-c NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DOMENIQUE DICELLO WARD PA-C (NPI 1548772460) is an individual surgical provider in Jefferson Hills, Pennsylvania, licensed in Pennsylvania (MA059553) and active in the NPI registry since November 2017. She is enrolled in Medicare PECOS, is affiliated with Jefferson Hospital, and is a graduate of Other (2017).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Domenique Dicello Ward Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Hospital
Acute Care Hospitals · Jefferson Hills, PAMedicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Domenique Ward's NPI number?
The NPI number for Domenique Ward is 1548772460. It was assigned to this individual provider in the NPPES registry on November 1, 2017. The provider is also known as Domenique Dara Dicello Pa-C.
Where is Domenique Ward located?
Domenique Ward practices at 1200 Brooks Ln Ste 170, Jefferson Hills, PA 15025. The listed phone number is (412) 469-7110.
What is Domenique Ward's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Domenique Ward enrolled in Medicare?
Yes. Domenique Ward is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Is Domenique Ward affiliated with any hospitals?
According to CMS data, Domenique Ward is affiliated with Jefferson Hospital.
When was this NPI record last updated?
The NPPES record for Domenique Ward was last updated on May 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Domenique Dicello Ward, PA-C · NPI 1548772460
Surgical physician in Jefferson Hills, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 1, 2017.
## Identity
- **NPI:** 1548772460 (Entity type: Individual)
- **Enumerated:** November 1, 2017
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** MA059553 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 BROOKS LN STE 170, Jefferson Hills, PA 15025-3759
- **Phone:** (412) 469-7110
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2017
## Record status
- **NPPES last updated:** May 11, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1548772460) · Data from the CMS NPPES public registry.