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

Dr. Dominic Connolly, MD

Individual provider Emergency Medicine Physician · NPI 1093754269

Dr. Dominic Connolly, MD is an Emergency Medicine in Kirkland, Washington. Graduated from Vanderbilt University School of Medicine in 1999, 27 years ago. Practices with Evergreen Emergency Services Ps, a 45-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
27
Trained at
Vanderbilt University School of Medicine
Licensed in
WA
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

12040 NE 128th St
Kirkland, WA 98034-3013
Phone: (425) 899-1000
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence MD00040730 (WA)

Record details

NPI number1093754269
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 5, 2006
Last updated in NPPESDecember 4, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolVANDERBILT UNIVERSITY SCHOOL OF MEDICINE
Graduated 1999 (27 years in practice)
Group practice Evergreen Emergency Services Ps — 45 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Kirkland