ROCKFORD DERMATOLOGY SC
NPI 1487751335
Dermatology in Rockford, IL

Active since September 20, 2006
4338 MORSAY DR, ROCKFORD, IL 61107(815) 399-6400(815) 399-4424 Get Directions Write a Review

NPPES record last updated: February 19, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Rockford Dermatology Sc NPPES

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

ROCKFORD DERMATOLOGY SC (NPI 1487751335) is a healthcare organization registered as a dermatology in Rockford, Illinois and active in the NPI registry since September 2006. The organization lists Lakimerly Michelle Coates, President, as its authorized official.

NPPES Registry Identity

NPI1487751335
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameROCKFORD DERMATOLOGY SC
Location Address4338 MORSAY DRRockford, IL 61107-4877
Mailing Address4338 Morsay DrRockford, IL 61107-4877 · (815) 399-6400 · Fax (815) 399-4424
Fax(815) 399-4424
Organization SubpartNo
Authorized OfficialLakimerly Michelle CoatesPresident · (815) 399-6400
Enumeration DateSeptember 20, 2006
Last NPPES UpdateFebruary 19, 2018
✔ NPI 1487751335 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IL · 042617821
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.
Also ListedDermatology · Procedural DermatologyTaxonomy 207NS0135X · License 042617821 (IL)
4338 MORSAY DR, Rockford, IL 61107

Other Identifiers 4

Other203521IL · Medicare Group #
Other7847308Aetna
Medicaid036102903IL
Other10132043IL · Blue Cross Blue Shield

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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)

Rockford Dermatology Sc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Rockford Dermatology Sc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1871576264
165 SCOTT AVE STE 100
Morgantown, WV 26508
(715) 531-5650
✔ PECOS✔ Accepts Medicare509 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 Rockford Dermatology Sc's NPI number?

The NPI number for Rockford Dermatology Sc is 1487751335. It was assigned to this organization in the NPPES registry on September 20, 2006.

Where is Rockford Dermatology Sc located?

Rockford Dermatology Sc is located at 4338 Morsay Dr, Rockford, IL 61107. The listed phone number is (815) 399-6400.

What is Rockford Dermatology Sc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Rockford Dermatology Sc enrolled in Medicare?

Yes. Rockford Dermatology Sc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Rockford Dermatology Sc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Rockford Dermatology Sc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Rockford Dermatology Sc was last updated on February 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.