Individual provider Active NPI

Robert Juan Joseph Dragotti, D.O.

  • Surgery Physician
  • Arlington, WA
National Provider Identifier
1801107990
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OP60528179 Issued in WA
Practice address
3710 168TH St NE Ste B205
Arlington, WA 98223-8465
Phone
(360) 322-6375
Fax
(360) 322-6974
NPI assigned
Jun 23, 2010
Last updated
Jul 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X OP60528179 WA Primary

Addresses

Primary practice location

3710 168TH St NE Ste B205
Arlington, WA 98223-8465

Mailing address

3710 168TH St NE Ste B205
Arlington, WA 98223-8465
Phone (360) 322-6375

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NJ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180130001028 OR Practitioner - General Surgery 7113239336 Reassigns benefits to 1 organization
I20251119004612 NJ Practitioner - General Surgery 7113239336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

14 US Hwy 206
Apt a
Stanhope, NJ 07874-3325
Phone (973) 323-2400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Antares Surgical Services LLC Surgery CurrentSince Sep 30, 2025 Accepting new patients
Willamette Valley Clinics LLC Surgery CurrentSince Feb 1, 2018 Accepting new patients
Bothell Pediatric & Hand Therapy Past Accepting new patients

Locations

14 US Highway 206
Apt A
Stanhope, NJ 07874
Phone (908) 850-9548

2700 SE Stratus Ave
McMinnville, OR 97128
Phone (503) 435-1200

2700 SE Stratus Ave
Unit 402
McMinnville, OR 97128
Phone (503) 434-1110

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DAGFDD/Endpoint/DAGFDD
  • Direct secure messaging: rdragotti559633@direct.ahsys.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1277251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1801107990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3710 168TH ST NE STE B205",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238465",
            "telephone_number": "360-322-6375",
            "fax_number": "360-322-6974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3710 168TH ST NE STE B205",
            "city": "ARLINGTON",
            "state": "WA",
            "postal_code": "982238465",
            "telephone_number": "360-322-6375",
            "fax_number": "360-322-6974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAGOTTI",
        "first_name": "ROBERT",
        "middle_name": "JUAN JOSEPH",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-06-23",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "OP60528179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, WA

Sources for this page

Verify at the official NPI Registry.