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

Jason Dettori, MD

Individual provider Internal Medicine Physician · NPI 1124281076

Jason Dettori, MD is an Ophthalmology in Everett, Washington. Graduated from Tufts University School of Medicine in 2008, 18 years ago. Practices with Kaiser Foundation Health Plan of Washington, a 1,519-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
18
Trained at
Tufts University School of Medicine
Licensed in
WA
In the registry since
2008
Specialties on file
2
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

2930 Maple St
Everett, WA 98201-3832
Phone: (425) 261-1500
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 736 Cambridge St, Boston, MA 02135-2907 — (617) 789-3000

Specialties & licences

Ophthalmology Physician (primary) Taxonomy 207W00000X · Licence MD60236693 (WA)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD60236693 (WA)

Record details

NPI number1124281076
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 9, 2008
Last updated in NPPESMarch 30, 2021
Certification dateMarch 30, 2021

Medicare enrollment

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

Medicare specialtyOPHTHALMOLOGY
Medical schoolTUFTS UNIVERSITY SCHOOL OF MEDICINE
Graduated 2008 (18 years in practice)
Group practice Kaiser Foundation Health Plan Of Washington — 1519 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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