Dominique Lea Degraaff, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

MDRE.ML.61548407 Issued in WA

Practice address

PO Box 356310
Seattle, WA 98195-6310

Phone

(503) 367-0712

NPI assigned

Apr 16, 2024

Last updated

Apr 16, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713225600000",
    "number": "1720832769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1123 N 94TH ST UNIT B",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981033305",
            "telephone_number": "503-367-0712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 356310",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981956310",
            "telephone_number": "503-367-0712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGRAAFF",
        "first_name": "DOMINIQUE",
        "middle_name": "LEA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2024-04-16",
        "certification_date": "2024-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MDRE.ML.61548407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naomi Eileen Degasperi
• Taye Degefu, CMHS, MHP, EMMHS
• Marie Degennaro
• Kathryn Degraaf, MTFC
• Bret Gary Degraaff, MD
• Deniele E Degraff, MS, RD
• Diane A. Degraff, ARNP
• Alex John Degrave
• Joshua James Degrave, PHARMD
• Chantal J Degroat

• Surgery Physician in Seattle, WA
• Providers in Seattle, WA by specialty
• Surgery Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.