EDGEBROOK DERMATOLOGY P.C.
NPI 1225184948
Dermatology in Rockford, IL
About Edgebrook Dermatology P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDGEBROOK DERMATOLOGY P.C. (NPI 1225184948) is a healthcare organization registered as a dermatology in Rockford, Illinois and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through February 4, 2028 and lists Maria Albasha, Md President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Edgebrook Dermatology P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Edgebrook Dermatology P.C., which bills Medicare for the services they deliver. Of these, 3 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (3)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate for Provider-Performed Microscopy Procedures (PPMP) 14D0940104
Edgebrook Dermatology, PC · Rockford, ILFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Edgebrook Dermatology P.C.'s NPI number?
The NPI number for Edgebrook Dermatology P.C. is 1225184948. It was assigned to this organization in the NPPES registry on January 26, 2007.
Where is Edgebrook Dermatology P.C. located?
Edgebrook Dermatology P.C. is located at 1639 N Alpine Rd, Rockford, IL 61107. The listed phone number is (815) 229-9333.
What is Edgebrook Dermatology P.C.'s specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Edgebrook Dermatology P.C. enrolled in Medicare?
Yes. Edgebrook Dermatology P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Edgebrook Dermatology P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Edgebrook Dermatology P.C., in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 3 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Edgebrook Dermatology P.C. hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 14D0940104) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Edgebrook Dermatology P.C. accept?
Health plans from Quartz list Edgebrook Dermatology P.C. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Edgebrook Dermatology P.C. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Edgebrook Dermatology P.c. · NPI 1225184948
Dermatology organization in Rockford, Illinois. Organization record, active in the CMS NPPES registry since January 26, 2007.
## Identity
- **NPI:** 1225184948 (Entity type: Organization)
- **Enumerated:** January 26, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Maria Albasha, MD PRESIDENT
## Practice location
- **Address:** 1639 N ALPINE RD, Rockford, IL 61107-1449
- **Phone:** (815) 229-9333
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (2), Dermatology (1); 3 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
- **Other identifiers:** Other 10107770 (IL)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1225184948) · Data from the CMS NPPES public registry.