Active NPI
Dominic Mario Forte, MD
- Surgery Physician
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- MD61441574
- Practice address
- 1802 Yakima Ave Ste 104
Tacoma, WA 98405-5303 - Phone
- (253) 426-6272
- Fax
- (253) 426-4060
- NPI assigned
- Mar 23, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 29874 | NE | |
| Military Health Care Provider | 171000000X | 29874 | NE | |
| Surgery Physician | 208600000X | T8816 | TX | |
| Surgery Physician | 208600000X | MD61441574 | WA | Primary |
Addresses
Primary practice location
1802 Yakima Ave Ste 104
Tacoma, WA 98405-5303
Mailing address
1802 Yakima Ave Ste 104
Tacoma, WA 98405-5303
Phone (253) 426-6272
Other practice location 1
9040 Jackson Ave
Tacoma, WA 98431-0001
Phone (253) 968-1110
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2048691 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dforte874917@direct.sw.org | ||
| Direct Messaging Address | dforte791705@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Washington School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1802 Yakima Ave
Suite 104
Tacoma, WA 98405-5303
Phone (253) 426-6739
Hospital & facility affiliations
- St Joseph Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29874 | NE | MD | Military Health Care Provider |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| Franciscan Medical Group | Surgery | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients | |
| Franciscan Medical Group | Current | Accepting new patients |
Locations
317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400
1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
1802 Yakima Ave
Ste 104
Tacoma, WA 98405
Phone (253) 426-6272
Organizations & group practices 6
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Internal Medicine Physician
- Silverdale, WA
- NPI 1710432612
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Multi-Specialty Clinic/Center
- Tacoma, WA
- NPI 1952356404
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1427068800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743465600000",
"number": "1992199467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1802 YAKIMA AVE STE 104",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055303",
"telephone_number": "253-426-6272",
"fax_number": "253-426-4060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1802 YAKIMA AVE STE 104",
"city": "TACOMA",
"state": "WA",
"postal_code": "984055303",
"telephone_number": "253-426-6272",
"fax_number": "253-426-4060"
}
],
"practiceLocations": [
{
"address_1": "9040 Jackson Ave",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984310001",
"country_code": "US",
"telephone_number": "253-968-1110",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORTE",
"first_name": "DOMINIC",
"middle_name": "MARIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-23",
"last_updated": "2025-04-01",
"certification_date": "2025-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NE",
"license": "29874",
"primary": false
},
{
"code": "171000000X",
"taxonomy_group": "",
"desc": "Military Health Care Provider",
"state": "NE",
"license": "29874",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "T8816",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WA",
"license": "MD61441574",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2048691",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dforte874917@direct.sw.org",
"affiliation": "N",
"address_1": "2401 S 31st St",
"city": "Temple",
"state": "TX",
"country_code": "US",
"postal_code": "765080001",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dforte791705@fhsce.catholichealth.net",
"affiliation": "Y",
"affiliationName": "Franciscan Medical Group",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1802 Yakima Ave Ste 104",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984055303",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2025; 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.