Modern Dermatology, PLLC
NPI 1790178010ActiveOrganization· Dermatology· Seattle, WA
Dermatology in Seattle, Washington, registered in NPPES in March 2015. The authorized official on file is Heather D. Rogers, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1790178010 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 11, 2015 |
| Last updated in NPPES | Aug 4, 2022 |
| Certified by provider | Aug 4, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | 60048520 | WA |
| Non-Pharmacy Dispensing Site | 332900000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (WA) |
|---|
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