PAUL REVIS MD SC
NPI 1952505422
Dermatology in Rockford, IL

Active since June 11, 2007
1055 FEATHERSTONE RD STE C, ROCKFORD, IL 61107(815) 227-1055(815) 227-1006 Get Directions Write a Review

NPPES record last updated: March 16, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paul Revis Md Sc NPPES

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

PAUL REVIS MD SC (NPI 1952505422) is a healthcare organization registered as a dermatology in Rockford, Illinois and active in the NPI registry since June 2007. The organization lists Paul Revis, Physician, as its authorized official.

NPPES Registry Identity

NPI1952505422
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NamePAUL REVIS MD SC
Location Address1055 FEATHERSTONE RD STE CRockford, IL 61107-5904
Mailing Address1055 Featherstone Rd Ste CRockford, IL 61107-5904 · (815) 227-1055 · Fax (815) 227-1006
Fax(815) 227-1006
Organization SubpartNo
Authorized OfficialPaul RevisPhysician · (815) 227-1055
Enumeration DateJune 11, 2007
Last NPPES UpdateMarch 16, 2026
NPPES CertifiedMarch 16, 2026
NPI 1952505422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in IL · 036067857
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.
1055 FEATHERSTONE RD STE C, Rockford, IL 61107

Other Identifiers 2

Medicaid036067857IL
Other0010132251IL · Bcbs Of Il

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

Other Providers at the Same Location NPPES 2

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

Physician Assistant (Medical)
1055 FEATHERSTONE RD STE C
ROCKFORD, IL 61107
Nurse Practitioner (Family)
1055 FEATHERSTONE RD STE C
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 Paul Revis MD Sc's NPI number?

The NPI number for Paul Revis MD Sc is 1952505422. It was assigned to this organization in the NPPES registry on June 11, 2007.

Where is Paul Revis MD Sc located?

Paul Revis MD Sc is located at 1055 Featherstone Rd Ste C, Rockford, IL 61107. The listed phone number is (815) 227-1055.

What is Paul Revis MD Sc's specialty?

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

What insurance does Paul Revis MD Sc accept?

Health plans from Quartz list Paul Revis MD Sc 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 Paul Revis MD Sc was last updated on March 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.