Ingrid Roseborough, MD, PC
NPI 1285983197ActiveOrganization· Dermatology· Oakland, CA
Dermatology in Oakland, California, registered in NPPES in September 2012. The authorized official on file is Ingrid Roseborough, MD, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1285983197 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 6, 2012 |
| Last updated in NPPES | Jun 11, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dermatology Primary | 207N00000X | A92548 | CA |
| Dermatology, Procedural Dermatology | 207NS0135X | A92548 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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