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ADVANCED DERMATOLOGY CLINIC, INC.
NPI 1881167278
Dermatology in Freeport, IL

Active since January 08, 2019
1036 W STEPHENSON ST, FREEPORT, IL 61032(888) 423-7880(608) 826-0281 Get Directions Write a Review

NPPES record last updated: June 10, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 10, 2020, Jan 8, 2019 (2 updates tracked since 2019).

About Advanced Dermatology Clinic, Inc. NPPES

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

ADVANCED DERMATOLOGY CLINIC, INC. (NPI 1881167278) is a healthcare organization registered as a dermatology in Freeport, Illinois and active in the NPI registry since January 2019. The organization lists Harry Sharata, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1881167278
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameADVANCED DERMATOLOGY CLINIC, INC.
Location Address1036 W STEPHENSON STFreeport, IL 61032-4865
Mailing Address6510 Grand Teton Plz Ste 302Madison, WI 53719-1029 · (608) 826-0285 · Fax (608) 826-0281
Phone(888) 423-7880
Fax(608) 826-0281
Organization SubpartYesParent: Advanced Dermatology, Inc.
Authorized OfficialHarry SharataMedical Director · (608) 826-0285
Enumeration DateJanuary 8, 2019
Last NPPES UpdateJune 10, 20202 updates tracked since enumeration
NPPES CertifiedJune 10, 2020
✔ NPI 1881167278 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.
1036 W STEPHENSON ST, Freeport, IL 61032
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Dean Health Plan, Quartz.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Dermatology Clinic, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Dermatology Clinic, Inc., which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Harry Sharata, MD, PH.D.
Dermatology
NPI 1275595753
6510 GRAND TETON PLZ SUITE 302
Madison, WI 53719
(608) 826-0285
✔ PECOS✔ Accepts Medicare53 mi
Jennifer Tran, MD
Dermatology
NPI 1871172809
600 HIGHLAND AVE
Madison, WI 53792
(608) 287-2450
✔ PECOS✔ Accepts Medicare55 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 Advanced Dermatology Clinic, Inc.'s NPI number?

The NPI number for Advanced Dermatology Clinic, Inc. is 1881167278. It was assigned to this organization in the NPPES registry on January 8, 2019.

Where is Advanced Dermatology Clinic, Inc. located?

Advanced Dermatology Clinic, Inc. is located at 1036 W Stephenson St, Freeport, IL 61032. The listed phone number is (888) 423-7880.

What is Advanced Dermatology Clinic, Inc.'s specialty?

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

Is Advanced Dermatology Clinic, Inc. enrolled in Medicare?

Yes. Advanced Dermatology Clinic, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Dermatology Clinic, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Dermatology, reassign their Medicare billing to Advanced Dermatology Clinic, Inc.. 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.

What insurance does Advanced Dermatology Clinic, Inc. accept?

Health plans from Dean Health Plan and Quartz list Advanced Dermatology Clinic, Inc. 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 Advanced Dermatology Clinic, Inc. was last updated on June 10, 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.