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

Robert E. Dattilio, DO

Individual provider Family Medicine Physician · NPI 1174559942

Robert E. Dattilio, DO is a Family Practice in Gladstone, Missouri. Graduated from At Still University of Health Sciences, College of Osteo Med, Kirksville in 1986, 40 years ago. Practices with Jayhawk Primary Care Inc, a 157-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Missouri.

Years since qualifying
40
Trained at
At Still University of Health Sciences, College of Osteo Med, Kirksville
Licensed in
MO
In the registry since
2006
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

6420 N Prospect Ave
Gladstone, MO 64119
Phone: (913) 945-9700
Fax: (913) 945-9707
Show map & directions

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

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 107975 (MO)

Record details

NPI number1174559942
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJune 24, 2006
Last updated in NPPESJune 13, 2018
Mailing address2330 Shawnee Mission Pkwy, Medical Administrative Services Of Ku Med, Ste. 312, Westwood, KS 66205-2005

Medicare enrollment

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

Medicare specialtyFAMILY PRACTICE
Medical schoolAT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Graduated 1986 (40 years in practice)
Group practice Jayhawk Primary Care Inc — 157 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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