DANIEL C. ROOT (M.D.) – Dermatology Physician, NPI 1184824237
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
232 DERMATOLOGY in OR
Provider Addresses for DANIEL C. ROOT (M.D.)
PO BOX 34584
SEATTLE, WA 981241584
Phone: (509) 241-7349
Type: Mailing
9280 SE SUNNYSIDE BLVD
STE 200
CLACKAMAS, OR 97015
Phone: (503) 962-1840
Type: Location
PO BOX 3158
PORTLAND, OR 972083158
Phone: (503) 215-6494
Type: Mailing
2701, 156th Avenue Northeast, Sherwood Forest, Bellevue, King County, Washington, 98052, United States
REDMOND, WA 980525513
Phone: (425) 883-5020
Type: Location
2701 156th Ave NE
Redmond, WA 980525513
Phone: (425) 883-5020
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: 2025-02-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040420000570 | I | Dermatology | WA | TBD |
| I20250207000608 | I | Dermatology | OR | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 98124)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | CA | |
| Physician Assistant | OR | |
| Nurse Practitioner | WA | |
| Physician Assistant | OR | |
| D E R M A T O L O G Y | FL | |
| Nurse Practitioner | WA | |
| General Practice, Radiation Oncology, General Practice | CA | |
| Nurse Practitioner | WA | |
| Physician Assistant | OR | |
| Physician Assistant | OR |
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