MICHAEL JOHN DE ROSA (PA-C) – Physician Assistant, NPI 1083875165

MICHAEL JOHN DE ROSA (PA-C) is a healthcare provider. based in Seattle, Washington. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. PA61090452 (WA). The NPI Number for MICHAEL JOHN DE ROSA (PA-C) is 1083875165

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL JOHN DE ROSA (PA-C)
NPI
1083875165
Phone
Not provided
Address
PO BOX 50095
Enumeration Date
20 June 2008
Last Update Date
18 January 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5107855000
Graduation Year
2006 (20 years ago)
PAC ID
4688816937
Group Practice PAC ID
6305748799
Professional Enrollment ID
I20130815000581
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

Provider Addresses for MICHAEL JOHN DE ROSA (PA-C)

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone:

    Type: Mailing

  • 1959 NE PACIFIC ST.

    SEATTLE, WA 981950001

    Phone: (206) 520-5000

    Type: Location

  • 2915, Telegraph Avenue, LeConte, Berkeley, Alameda County, California, 94705, United States

    SUITE 101

    BERKELEY, CA 947052060

    Phone: (510) 843-4544

    Fax: (510) 843-3871

    Type: Mailing

  • Challenge Butter, 11875, Dublin Boulevard, Dublin, Alameda County, California, United States

    SUITE C 140

    DUBLIN, CA 945682843

    Phone: (925) 587-2505

    Fax: (925) 587-2511

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $172.

Total Amount is formed as General ($172) + Research ($0) + Ownership ($0) = $172.

Last reported payment date: 2023-01-13 • Largest payer in this snapshot: Medtronic, Inc. ($97).

Total Amount

$172

General + Research + Ownership

Payments

2

Total payment records

General Amount

$172

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-01-13

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2022-01-20

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
I20220120002281IPhysician AssistantWATBD

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
99213Established patient office or other outpatient visit, 20-29 minutes2322$0
99214Established patient office or other outpatient visit, 30-39 minutes2018$0
36415Insertion of needle into vein for collection of blood sample1212$0
View full utilization report →

Insurance plans in this area (ZIP 98145)

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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: 6305748799View full group profile
NameSpecialtyState
-CA
-CA
-CA
E N D O C R I N O L O G YCA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
-CA

Reviews

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Frequently asked questions

What is MICHAEL JOHN DE ROSA (PA-C)'s NPI number?
MICHAEL JOHN DE ROSA (PA-C)'s NPI is 1083875165 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to MICHAEL JOHN DE ROSA (PA-C)?
You should see MICHAEL JOHN DE ROSA (PA-C) as active in CMS-hosted NPPES data.
How would a patient describe MICHAEL JOHN DE ROSA (PA-C)'s focus?
For MICHAEL JOHN DE ROSA (PA-C), the primary taxonomy reads as Physician Assistant. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MICHAEL JOHN DE ROSA (PA-C)?
Travel planning: use Seattle, Washington as the reference point for MICHAEL JOHN DE ROSA (PA-C), then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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