Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Domenic Derobertis, CAA

Individual provider Anesthesiologist Assistant · NPI 1023545530

Domenic Derobertis, CAA is an Anesthesiologist Assistant in Washington, District of Columbia. Licensed in Florida. Registered with an NPI since 2017.

Licensed in
FL
In the registry since
2017
Specialties on file
2

Practice location Address checks out

1150 Varnum St NE
Washington, DC 20017-2104
Phone: (202) 854-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiologist Assistant (primary) Taxonomy 367H00000X · Licence AA698 (FL)
Anesthesiologist Assistant Taxonomy 367H00000X

Record details

NPI number1023545530
Entity typeIndividual (Type 1)
GenderMale
Credentials CAA
Sole proprietorNo
NPI enumeratedMay 15, 2017
Last updated in NPPESMarch 10, 2025
Certification dateMarch 10, 2025
Mailing address13661 Samhill Ln, Mount Airy, MD 21771-4578

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