Edgebrook Dermatology P.C.
NPI 1225184948ActiveOrganization· Dermatology· Rockford, IL
Dermatology in Rockford, Illinois, registered in NPPES in January 2007. The authorized official on file is Maria Albasha, Md President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225184948 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 26, 2007 |
| Last updated in NPPES | Aug 22, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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