MRS. TAJ MAHALIA ROCK (PHYSICIAN ASSISTANT) – Dermatology Physician, NPI 1801973219
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,282 PHYSICIAN ASSISTANT in WA
Provider Addresses for MRS. TAJ MAHALIA ROCK (PHYSICIAN ASSISTANT)
12303 NE 130 LN
#330 EVERGREEN DERMATOLOGY CENTER
KIRKLAND, WA 98034
Phone: (425) 899-4300
Fax: (425) 899-4305
Type: Location
9710, 5th Avenue Northeast, Maple Leaf, Seattle, King County, Washington, 98115, United States
#201
SEATTLE, WA 98115
Phone: (206) 604-0160
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $141.
Total Amount is formed as General ($141) + Research ($0) + Ownership ($0) = $141.
Last reported payment date: 2023-08-31 • Largest payer in this snapshot: Incyte Corporation ($85).
Total Amount
$141
General + Research + Ownership
Payments
4
Total payment records
General Amount
$141
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Incyte Corporation | $85 |
| PFIZER INC. | $41 |
| E.R. Squibb & Sons, L.L.C. | $16 |
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: 2007-04-13
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20070413000588 | I | Physician Assistant | WA | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 150 | 29 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 40 | 36 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 33 | 33 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 26 | 24 | $0 |
| 17004 | Destruction of precancer skin growth, 15 or more growths | 24 | 24 | $0 |
Insurance plans in this area (ZIP 98034)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | WA | |
| Physician Assistant | WA |
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