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

Dr. Dominic Theodore Diciro, MD

Individual provider Emergency Medicine Physician · NPI 1376596981

Dr. Dominic Theodore Diciro, MD is an Emergency Medicine in Everett, Washington. Qualified in 1992, 34 years ago. Practices with Sikeston Emergency Group LLC, a 19-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky, Missouri and Washington.

Years since qualifying
34
Licensed in
KY, MO, WA
In the registry since
2006
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1321 Colby Ave
Everett, WA 98201-1665
Phone: (425) 261-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1008 N Main St, Sikeston, MO 63801-5044 — (573) 471-1600

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 2012003239 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 31881 (KY)
Emergency Medical Services (Emergency Medicine) Physician Taxonomy 207PE0004X · Licence MD000045375 (WA)

Record details

NPI number1376596981
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 18, 2006
Last updated in NPPESApril 19, 2022
Certification dateApril 19, 2022

Medicare enrollment

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

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 1992 (34 years in practice)
Group practice Sikeston Emergency Group Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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