Individual provider Active NPI

Heather D Rogers, MD

  • Dermatology Physician
  • Seattle, WA
National Provider Identifier
1376717363
Registry record updated Oct 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD60048520 Issued in WA
Practice address
1021 Mercer St
Seattle, WA 98109-4324
Phone
(206) 489-2530
Fax
(206) 489-2531
NPI assigned
Apr 22, 2008
Last updated
Oct 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD60048520 WA
Dermatology Physician 207N00000X MD60048520 WA Primary

Addresses

Primary practice location

1021 Mercer St
Seattle, WA 98109-4324

Mailing address

1021 Mercer St
Seattle, WA 98109-4324
Phone (206) 489-2530

Other practice location 1

7707 SE 27th St
Ste 104
Mercer Island, WA 98040-2844
Phone (206) 489-2530

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090810000167 WA Practitioner - DermatologyPractitioner - Other (Physician) 0244383214 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Washington School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Modern Dermatology PLLCGroup PAC ID 1456672096, 6 clinicians

Practice addresses (Care Compare)

1021 Mercer St
Seattle, WA 98109-4324
Phone (206) 489-2530

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision72
Removal of skin lesions200
Removal of skin cancer142
Removal or shaving of skin growth1-10
Skin biopsy118

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Modern Dermatology, PLLC Dermatology CurrentSince Jun 1, 2015 Accepting new patients

Locations

7707 SE 27th St
Ste 104
Mercer Island, WA 98040
Phone (206) 232-2267

1021 Mercer St
Seattle, WA 98109
Phone (206) 486-2982

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665705600000",
    "number": "1376717363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1021 MERCER ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094324",
            "telephone_number": "206-489-2530",
            "fax_number": "206-489-2531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1021 MERCER ST",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981094324",
            "telephone_number": "206-489-2530",
            "fax_number": "206-489-2531"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7707 SE 27th St",
            "address_2": "STE 104",
            "address_purpose": "LOCATION",
            "city": "Mercer Island",
            "state": "WA",
            "postal_code": "980402844",
            "country_code": "US",
            "telephone_number": "206-489-2530",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROGERS",
        "first_name": "HEATHER",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-22",
        "last_updated": "2022-10-14",
        "certification_date": "2022-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD60048520",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD60048520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

Verify at the official NPI Registry.