TANYA ROSANNE HATHAWAY (MD) – Dermatology Physician, NPI 1316962111

TANYA ROSANNE HATHAWAY (MD) is a healthcare provider. based in Seattle, Washington. specializing in DERMATOLOGY. They hold the professional credentials MD. They hold a License No. MD00046586 (WA). The NPI Number for TANYA ROSANNE HATHAWAY (MD) is 1316962111

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
TANYA ROSANNE HATHAWAY (MD)
NPI
1316962111
Phone
(206) 860-4691
Address
509 OLIVE WAY
Enumeration Date
13 July 2006
Last Update Date
15 March 2024

Doctor Profile

Medical School Name
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Secondary Phone
2065984333
Graduation Year
2005 (21 years ago)
PAC ID
2567468093
Group Practice PAC ID
0446162697
Professional Enrollment ID
I20061005000656
Address ID
WA981950001SE1959XSTXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:19State licenses:1Digital endpointsOther names

393 DERMATOLOGY in WA

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Provider Addresses for TANYA ROSANNE HATHAWAY (MD)

  • Medical Dental Building, 509, Olive Way, Central Business District, Belltown, Seattle, King County, Washington, 98101, United States

    SUITE 900

    SEATTLE, WA 981011720

    Phone: (206) 860-4691

    Fax: (206) 329-1261

    Type: Location

  • 4225 Roosevlt Way NE

    Seattle, WA 981056099

    Phone: (206) 520-5000

    Type: Location

  • PO BOX 50095

    SEATTLE, WA 981455095

    Phone:

    Type: Mailing

  • 1959 NE PACIFIC ST

    SEATTLE, WA 981950001

    Phone: (206) 520-5000

    Type: Location

  • 1145, Broadway, First Hill, Seattle, King County, Washington, 98138, United States

    SEATTLE, WA 981224201

    Phone: (206) 329-1760

    Type: Mailing

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: 2006-10-05

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
I20061005000656IDermatologyWATBD

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 growths915168$0
99213Established patient office or other outpatient visit, 20-29 minutes519394$0
17000Destruction of precancer skin growth, 1 growth356260$0
11102Biopsy of related skin growth, first growth256217$0
99214Established patient office or other outpatient visit, 30-39 minutes138104$0
View full utilization report →

Insurance plans in this area (ZIP 98101)

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Provider's Procedures

TANYA ROSANNE HATHAWAY (MD) performs procedures in DERMATOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DERMATOLOGYWA11101Biopsy of each additional growth of skin and/or tissue2317
DERMATOLOGYWA17003Destruction of 2-14 skin growths23639

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: 0446162697View full group profile

Reviews

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Frequently asked questions

What identifier follows TANYA ROSANNE HATHAWAY (MD) across health systems?
The NPI 1316962111 uniquely identifies TANYA ROSANNE HATHAWAY (MD) in U.S. healthcare data.
Quick check: is TANYA ROSANNE HATHAWAY (MD) active?
Public NPPES data shows TANYA ROSANNE HATHAWAY (MD) with an active NPI status right now.
How should patients interpret TANYA ROSANNE HATHAWAY (MD)'s specialty?
The extract shows Dermatology Physician for TANYA ROSANNE HATHAWAY (MD). Clinical services aligned with this taxonomy classification.
What geographic area is tied to TANYA ROSANNE HATHAWAY (MD)?
TANYA ROSANNE HATHAWAY (MD) is associated with Seattle, Washington in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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