ERIC MICHAEL DORNOFF MD
NPI 1104407212
Student in an Organized Health Care Education/Training Program in Seattle, WA
About Eric Michael Dornoff Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ERIC MICHAEL DORNOFF MD (NPI 1104407212) is an individual student in an organized health care education/training program in Seattle, Washington and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Eric Michael Dornoff Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
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 Eric Dornoff's NPI number?
The NPI number for Eric Dornoff is 1104407212. It was assigned to this individual provider in the NPPES registry on April 20, 2021.
Where is Eric Dornoff located?
Eric Dornoff practices at 325 9th Ave, Seattle, WA 98104. The listed phone number is (206) 520-5000.
What is Eric Dornoff's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Eric Dornoff enrolled in Medicare?
Yes. Eric Dornoff is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Eric Dornoff was last updated on June 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Eric Michael Dornoff, MD · NPI 1104407212
Student in an Organized Health Care Education/Training Program provider in Seattle, Washington. Individual provider, active in the CMS NPPES registry since April 20, 2021.
## Identity
- **NPI:** 1104407212 (Entity type: Individual)
- **Enumerated:** April 20, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 325 9TH AVE, Seattle, WA 98104-2420
- **Phone:** (206) 520-5000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** June 9, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1104407212) · Data from the CMS NPPES public registry.