Individual provider Active NPI

Dominic J Femiano, M.D.

  • Family Medicine Physician
  • Seattle, WA
National Provider Identifier
1801195482
Registry record updated Jul 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD 60393394 Issued in WA
Practice address
3800 Montlake Blvd
Box 354060
Seattle, WA 98195-4060
Phone
(206) 520-5000
Fax
(206) 598-3140
NPI assigned
Mar 21, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD 60393394 WA Primary

Addresses

Primary practice location

3800 Montlake Blvd
Box 354060
Seattle, WA 98195-4060

Mailing address

3800 Montlake Blvd
Box 354060
Seattle, WA 98195-4060
Phone (206) 520-5000

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150921001797 WA Practitioner - Family PracticePractitioner - Sports Medicine 0840516902 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Sports Medicine
Education
Jefferson Medical College of Thomas Jefferson University, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Olympia Orthopaedic Associates PLLCGroup PAC ID 2365337508, 87 clinicians

Practice addresses (Care Compare)

615 Lilly Rd NE
Olympia, WA 98506-5117
Phone (360) 491-4211

Hospital & facility affiliations

  • Mason General Hospital & Family of Clinics Hospital, Shelton, WA, CCN 501336
  • Capital Medical Center Hospital, Olympia, WA, CCN 500139

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 60393394WAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Olympia Orthopaedic Associates, PLLC CurrentSince Oct 1, 2015 Accepting new patients
Olympia Orthopaedic Associates PLLC CurrentSince Oct 1, 2015 Accepting new patients

Locations

3901 Capital Mall Dr SW
#A
Olympia, WA 98502
Phone (360) 570-3460

615 Lilly Rd NE
Ste 240
Olympia, WA 98506
Phone (360) 413-3850

3901 Capital Mall Dr SW
Ste B
Olympia, WA 98502
Phone (360) 528-8571

615 Lilly Rd NE
Ste 100
Olympia, WA 98506
Phone (360) 491-4211

Interoperability endpoints

  • Direct secure messaging: dominic.femiano.1@5512.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/5512/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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 6

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405900800000",
    "number": "1801195482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 MONTLAKE BLVD",
            "address_2": "BOX 354060",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981954060",
            "telephone_number": "206-520-5000",
            "fax_number": "206-598-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3800 MONTLAKE BLVD",
            "address_2": "BOX 354060",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981954060",
            "telephone_number": "206-520-5000",
            "fax_number": "206-598-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FEMIANO",
        "first_name": "DOMINIC",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2014-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WA",
            "license": "MD 60393394",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.