DR. DOMINIC CONNOLLY M.D.
NPI 1093754269
Emergency Medicine in Kirkland, WA

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
12040 NE 128TH ST, KIRKLAND, WA 98034(425) 899-1000 Get Directions Write a Review

NPPES record last updated: December 4, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Dominic Connolly M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOMINIC CONNOLLY M.D. (NPI 1093754269) is an individual emergency medicine provider in Kirkland, Washington, licensed in Washington (MD00040730) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Evergreenhealth Medical Center, and is a graduate of Vanderbilt University School Of Medicine (1999).

NPPES Registry Identity

NPI1093754269
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. DOMINIC CONNOLLYCredential: M.D.
Location Address12040 NE 128TH STKirkland, WA 98034-3013
Mailing AddressFile 50421Los Angeles, CA 90074-0001 · (800) 793-3529
Sole ProprietorNo
Medical School CMSVanderbilt University School Of MedicineGraduated 1999
Enumeration DateJune 5, 2006
Last NPPES UpdateDecember 4, 2007
NPI 1093754269 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in WA · MD00040730
Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

12040 NE 128TH ST, Kirkland, WA 98034

Other Identifiers 10

Other0730CORegence Bs
OtherP00287612Railroad Medicare
Medicare PIN8802602
Medicare UPINH58804
Medicare PING8857636
Medicare PINDB9277
Other8940418Wa Crime Victim
OtherH58804Group Health
Other204018Wa L & I
Medicaid8323958WA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Dominic Connolly M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1951328525
PECOS Enrollment IDI20051220000797
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
224 services218 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
145 services136 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
68 services68 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services31 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
15 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Evergreenhealth Medical Center

Acute Care Hospitals · Kirkland, WA
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number500124
Location12040 NE 128th StreetKirkland, WA 98034 · King County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98034 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$97.43 typical visit price
range $63.67 – $189.37
Typical copayment $24.35 (range $15.91 – $47.34)
Most-billed visit code 99203
Established Patient
$111.00 typical visit price
range $21.12 – $155.00
Typical copayment $27.75 (range $5.28 – $38.75)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Pharmacist
12040 NE 128TH ST, TAN 415/ MS31
KIRKLAND, WA 98034
Registered Nurse
12040 NE 128TH ST
KIRKLAND, WA 98034
Emergency Medicine
12040 NE 128TH ST
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034
Internal Medicine (Hematology & Oncology)
12040 NE 128TH ST
KIRKLAND, WA 98034
Anesthesiology
12040 NE 128TH ST
KIRKLAND, WA 98034
Pharmacist
12040 NE 128TH ST
KIRKLAND, WA 98034
General Acute Care Hospital
12040 NE 128TH ST
KIRKLAND, WA 98034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominic Connolly's NPI number?

The NPI number for Dominic Connolly is 1093754269. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Dominic Connolly located?

Dominic Connolly practices at 12040 NE 128th St, Kirkland, WA 98034. The listed phone number is (425) 899-1000.

What is Dominic Connolly's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Dominic Connolly enrolled in Medicare?

Yes. Dominic Connolly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dominic Connolly accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Dominic Connolly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dominic Connolly affiliated with any hospitals?

According to CMS data, Dominic Connolly is affiliated with Evergreenhealth Medical Center.

When was this NPI record last updated?

The NPPES record for Dominic Connolly was last updated on December 4, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.