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PHYSICIANS DERMPATH LABORATORY
NPI 1376866897
Dermatology - Dermatopathology in Park Ridge, IL

Active since March 11, 2010
1420 N. RENAISSANCE DR., SUITE 204, PARK RIDGE, IL 60068(847) 768-2440(847) 768-2443 Get Directions Write a Review

NPPES record last updated: November 9, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Physicians Dermpath Laboratory NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHYSICIANS DERMPATH LABORATORY (NPI 1376866897) is a healthcare organization registered as a dermatopathology in Park Ridge, Illinois and active in the NPI registry since March 2010. The organization lists David A. Lorber, President, as its authorized official.

NPPES Registry Identity

NPI1376866897
Entity TypeOrganization
Primary Taxonomy207ND0900X
Legal Business NamePHYSICIANS DERMPATH LABORATORY
Location Address1420 N. RENAISSANCE DR., SUITE 204Park Ridge, IL 60068-1330
Mailing Address1420 N. Renaissance Dr., Suite 204Park Ridge, IL 60068-1330 · (847) 768-2440 · Fax (847) 768-2443
Phone(847) 768-2440
Fax(847) 768-2443
Organization SubpartNo
Authorized OfficialDavid A. LorberPresident · (847) 675-9711
Enumeration DateMarch 11, 2010
Last NPPES UpdateNovember 9, 2010
✔ NPI 1376866897 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatology · DermatopathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ND0900X
Definition
A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes.
1420 N. RENAISSANCE DR., Park Ridge, IL 60068
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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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Physicians Dermpath Laboratory is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Physicians Dermpath Laboratory, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Evan Stokar
Dermatology
NPI 1710372941
2160 S 1ST AVE
Maywood, IL 60153
(708) 216-8757
✔ PECOS✔ Accepts Medicare12 mi
Lily Mahapatra, MD, PHD
Pathology
NPI 1912483728
1 BARNES JEWISH HOSPITAL PLZ
Saint Louis, MO 63110
(314) 480-9740
✔ PECOS✔ Accepts Medicare266 mi
Luis Flores, MD
Pathology
NPI 1992781785
1401 HAREWOOD SQ STE 204
Wexford, PA 15090
(412) 807-1554
✔ PECOS✔ Accepts Medicare419 mi
Aadil Ahmed, MD
Pathology
NPI 1407240559
20 YORK ST
New Haven, CT 06510
(203) 688-4242
✔ PECOS✔ Accepts Medicare773 mi

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 Physicians Dermpath Laboratory's NPI number?

The NPI number for Physicians Dermpath Laboratory is 1376866897. It was assigned to this organization in the NPPES registry on March 11, 2010.

Where is Physicians Dermpath Laboratory located?

Physicians Dermpath Laboratory is located at 1420 N. Renaissance Dr. Suite 204, Park Ridge, IL 60068. The listed phone number is (847) 768-2440.

What is Physicians Dermpath Laboratory's specialty?

The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.

Is Physicians Dermpath Laboratory enrolled in Medicare?

Yes. Physicians Dermpath Laboratory is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Physicians Dermpath Laboratory?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Physicians Dermpath Laboratory. 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. The largest specialties are Pathology (3) and Dermatology (1). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Physicians Dermpath Laboratory was last updated on November 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.