AMIRA AL-BASHA (PA-C) – Dermatology Physician, NPI 1871063776
Dermatology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
5,035 PHYSICIAN ASSISTANT in IL
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Provider Addresses for AMIRA AL-BASHA (PA-C)
380, North Alpine Road, Rockford, Winnebago County, Illinois, 61107, United States
ROCKFORD, IL 611071440
Phone: (815) 229-9333
Fax: (815) 229-7288
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $305.
Total Amount is formed as General ($305) + Research ($0) + Ownership ($0) = $305.
Last reported payment date: 2024-10-21 • Largest payer in this snapshot: ABBVIE INC. ($190).
Total Amount
$305
General + Research + Ownership
Payments
9
Total payment records
General Amount
$305
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-21
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| ABBVIE INC. | $190 |
| Sun Pharmaceutical Industries Inc. | $60 |
| Dermavant Sciences, Inc. | $54 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-11-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20191122000093 | I | Physician Assistant | IL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 496 | 99 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 307 | 222 | $0 |
| 17110 | Destruction of skin growth, 1-14 growths | 278 | 205 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 234 | 148 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 184 | 155 | $0 |
Insurance plans in this area (ZIP 61107)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| D E R M A T O L O G Y | IL |
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