DR. TANYA KAUR GREYWAL (MD) – Dermatology Physician, NPI 1043664600

DR. TANYA KAUR GREYWAL (MD) is a healthcare provider. based in La mesa, California. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. MD61170622 (WA). The NPI Number for DR. TANYA KAUR GREYWAL (MD) is 1043664600

Main info

Female
10 Years Of Experience
Accepts Medicare Assignment
Name
DR. TANYA KAUR GREYWAL (MD)
NPI
1043664600
Phone
(619) 644-1400
Address
8881 FLETCHER PKWY STE 104
Enumeration Date
20 April 2016
Last Update Date
27 October 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2065262000
Graduation Year
2016 (10 years ago)
PAC ID
1850684770
Group Practice PAC ID
9133032964
Professional Enrollment ID
I20211021002386
Address ID
WA981053901SE4800XNEXX500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,140 DERMATOLOGY in CA

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Provider Addresses for DR. TANYA KAUR GREYWAL (MD)

  • Fletcher Parkway, La Mesa, San Diego County, California, 91942, United States

    LA MESA, CA 919423131

    Phone: (619) 644-1400

    Fax: (619) 644-1422

    Type: Mailing

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone: (619) 644-1400

    Type: Mailing

  • 1959 NE PACIFIC ST.

    SEATTLE, WA 981950001

    Phone: (206) 520-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20211021002386IDermatologyWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
17003Destruction of precancer skin growth, 2-14 growths30267$0
99213Established patient office or other outpatient visit, 20-29 minutes164128$0
99214Established patient office or other outpatient visit, 30-39 minutes116100$0
17000Destruction of precancer skin growth, 1 growth10186$0
11102Biopsy of related skin growth, first growth8578$0
View full utilization report →

Insurance plans in this area (ZIP 91942)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133032964View full group profile
NameSpecialtyState
Pediatric MedicineWA
-WA
Pediatric Medicine, Hematology/OncologyCA
Pediatric MedicineIA
General SurgeryWA
-WA
Diagnostic Radiology, Pediatric MedicineWA
Nurse PractitionerWA
A N E S T H E S I O L O G YWA
General Surgery, Thoracic Surgery, Surgical OncologyWA

Reviews

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Frequently asked questions

Does DR. TANYA KAUR GREYWAL (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — DR. TANYA KAUR GREYWAL (MD) uses 1043664600.
Is DR. TANYA KAUR GREYWAL (MD) listed as active for patients and plans?
The listing shows DR. TANYA KAUR GREYWAL (MD) as active in the NPI system.
What healthcare role does DR. TANYA KAUR GREYWAL (MD) hold?
Scheduling teams often label DR. TANYA KAUR GREYWAL (MD) under Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where is DR. TANYA KAUR GREYWAL (MD) based?
DR. TANYA KAUR GREYWAL (MD) is tied to La Mesa, California in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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