EDGEBROOK DERMATOLOGY P.C.
NPI 1225184948
Dermatology in Rockford, IL

Active since January 26, 2007CLIA 14D0940104 · Microscopy
1639 N ALPINE RD, ROCKFORD, IL 61107(815) 229-9333 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1225184948
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEDGEBROOK DERMATOLOGY P.C.
Location Address1639 N ALPINE RDRockford, IL 61107-1449
Mailing AddressPo Box 1686Rockford, IL 61110-0186
Organization SubpartNo
Authorized OfficialMaria AlbashaMd President · (815) 229-9333
Enumeration DateJanuary 26, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1225184948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
Definition
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.
1639 N ALPINE RD, Rockford, IL 61107

Other Identifiers 1

Other10107770IL · Blue Shield

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

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, IL
Active · expires Feb 4, 2028
CLIA Number14D0940104
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorMaria Roehrs I. Al Basha MD
Laboratory Phone(815) 229-9333
Laboratory LocationEdgebrook Dermatology, PC1639 North Alpine Road, Suite 360, Rockford, IL 61107
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
1639 N ALPINE RD, 260
ROCKFORD, IL 61107
Family Medicine
1639 N ALPINE RD, SUITE 502
ROCKFORD, IL 61107
Counselor (Mental Health)
1639 N ALPINE RD, SUITE 403
ROCKFORD, IL 61107
Respite Care
1639 N ALPINE RD, 503
ROCKFORD, IL 61107
Counselor (Mental Health)
1639 N ALPINE RD, SUITE 260
ROCKFORD, IL 61107
Clinical Nurse Specialist (Family Health)
1639 N ALPINE RD, SUITE 260
ROCKFORD, IL 61107
Behavior Analyst
1639 N ALPINE RD
ROCKFORD, IL 61107
Psychiatry & Neurology (Psychiatry)
1639 N ALPINE RD
ROCKFORD, IL 61107

Frequently 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.

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.