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ZACHARY DATTILO MD
NPI 1295363356
Anesthesiology in Lawrenceville, GA

Active since April 01, 2020PECOS EnrolledAccepts Medicare Assignment
1000 MEDICAL CENTER BLVD DEPT 9650, LAWRENCEVILLE, GA 30046(678) 312-2394 Get Directions Write a Review

NPPES record last updated: August 14, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 14, 2025, Apr 1, 2020 (2 updates tracked since 2020).

About Zachary Dattilo Md NPPES

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

ZACHARY DATTILO MD (NPI 1295363356) is an individual anesthesiology provider in Lawrenceville, Georgia, licensed in Georgia (105658) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Northside Hospital Gwinnett, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1295363356
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameZACHARY DATTILOCredential: MD
Location Address1000 MEDICAL CENTER BLVD DEPT 9650Lawrenceville, GA 30046-7694
Mailing Address1000 Medical Center Blvd Dept 9650Lawrenceville, GA 30046-7694
Phone(678) 312-2394
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 1, 2020
Last NPPES UpdateAugust 14, 20252 updates tracked since enumeration
NPPES CertifiedAugust 14, 2025
✔ NPI 1295363356 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
License✔ Licensed in GA · 105658
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
1000 MEDICAL CENTER BLVD DEPT 9650, Lawrenceville, GA 30046
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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

Zachary Dattilo Md 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 ID4284139312
PECOS Enrollment IDI20250927000208
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.

Hospital Affiliations CMS Care Compare 2

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

Northside Hospital Gwinnett

Acute Care Hospitals · Lawrenceville, GA
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110087
Location1000 Medical Center BoulevardLawrenceville, GA 30046 · Gwinnett County
Birthing friendly

Northside Hospital Duluth

Acute Care Hospitals · Duluth, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110252
Location3620 Howell Ferry RoadDuluth, GA 30096 · Gwinnett County
Emergency services Birthing friendly

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 Zachary Dattilo's NPI number?

The NPI number for Zachary Dattilo is 1295363356. It was assigned to this individual provider in the NPPES registry on April 1, 2020.

Where is Zachary Dattilo located?

Zachary Dattilo practices at 1000 Medical Center Blvd Dept 9650, Lawrenceville, GA 30046. The listed phone number is (678) 312-2394.

What is Zachary Dattilo's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Zachary Dattilo enrolled in Medicare?

Yes. Zachary Dattilo 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.

Is Zachary Dattilo affiliated with any hospitals?

According to CMS data, Zachary Dattilo is affiliated with Northside Hospital Gwinnett and Northside Hospital Duluth.

When was this NPI record last updated?

The NPPES record for Zachary Dattilo was last updated on August 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.