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
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Other Identifiers 1
Group Practice 1
Accepted Insurance
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0940104
- Facility Type
- Physician Office
- Certificate Effective Date
- February 05, 2026
- Certificate Expiration Date
- February 04, 2028
- Laboratory Director
- MARIA ROEHRS I. AL BASHA MD
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Edgebrook Dermatology P.c. in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
Other Providers at the Same Location
The following 15 providers are registered at the same or a nearby location.
ROCKFORD, IL 61107
ROCKFORD, IL 61107
ROCKFORD, IL 61107
ROCKFORD, IL 61107
ROCKFORD, IL 61107
ROCKFORD, IL 61107
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1225184948, enumerated as an "organization" on January 26, 2007.
The provider is located at 1639 N ALPINE RD ROCKFORD, IL 61107 and the phone number is (815) 229-9333.
Dermatology with taxonomy code 207N00000X.
The provider might be accepting Accepts: Quartz, Blue Cross Blue Shield, Medicare and. Please consult your insurance carrier or call the provider to verify.
