INGRID ROSEBOROUGH, MD, PC
NPI 1285983197
Dermatology in Oakland, CA
About Ingrid Roseborough, Md, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
INGRID ROSEBOROUGH, MD, PC (NPI 1285983197) is a healthcare organization registered as a dermatology in Oakland, California and active in the NPI registry since September 2012. The organization lists Ingrid Roseborough, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ingrid Roseborough, Md, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ingrid Roseborough, MD, PC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Ingrid Roseborough, MD, PC's NPI number?
The NPI number for Ingrid Roseborough, MD, PC is 1285983197. It was assigned to this organization in the NPPES registry on September 6, 2012.
Where is Ingrid Roseborough, MD, PC located?
Ingrid Roseborough, MD, PC is located at 3300 Webster St Ste 509, Oakland, CA 94609. The listed phone number is (510) 452-4900.
What is Ingrid Roseborough, MD, PC's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Ingrid Roseborough, MD, PC enrolled in Medicare?
Yes. Ingrid Roseborough, MD, PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ingrid Roseborough, MD, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ingrid Roseborough, MD, PC, 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, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Ingrid Roseborough, MD, PC was last updated on June 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.
# Ingrid Roseborough, Md, Pc · NPI 1285983197
Dermatology organization in Oakland, California. Organization record, active in the CMS NPPES registry since September 6, 2012.
## Identity
- **NPI:** 1285983197 (Entity type: Organization)
- **Enumerated:** September 6, 2012
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Ingrid Roseborough, OWNER
## Practice location
- **Address:** 3300 WEBSTER ST STE 509, Oakland, CA 94609-3149
- **Phone:** (510) 452-4900 · **Fax:** (510) 452-2152
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 11, 2013
- **Other identifiers:** Medicare PIN GX926X (CA); Medicare PIN GW698A (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1285983197) · Data from the CMS NPPES public registry.