Active NPI
Robert Juan Joseph Dragotti, D.O.
- Surgery Physician
- Arlington, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OP60528179
- 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, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Antares Surgical Services LLC | Surgery | Current | Accepting new patients |
| Willamette Valley Clinics LLC | Surgery | Current | 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
- https://fhir4.healow.com/fhir/r4/DAGFDD/Endpoint/DAGFDD
- 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.
-
- Surgery Physician
- Stanhope, NJ
- NPI 1316811557
-
- Pediatric Occupational Therapist
- Bothell, WA
- NPI 1235285347
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hackettstown, NJ
- NPI 1518969419
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 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.
- 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.