Dermatology and Skin Cancer Center
NPI 1093596652 · Dermatology Physician · Bloomington, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Dermatology and Skin Cancer Center is a Dermatology Physician organization in Bloomington, IL (NPI 1093596652).
Provider details
- NPI number
- 1093596652
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Adrienne Schupbach, Md/Practice Owner(309) 533-7070
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- MOHS-Micrographic Surgery Physician207ND0101X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (2)
- 2011 Rock StPeru, IL 61354-1385Phone: (815) 410-4555Fax: (855) 710-6552
- 1508 W Reynolds StPontiac, IL 61764-2811Phone: (309) 533-7070Fax: (855) 710-6552
Registry dates
- Enumerated
- 2023-10-10
- Last updated
- 2024-12-17
- Certified
- 2024-12-17
Frequently asked questions
- What is Dermatology and Skin Cancer Center's NPI number?
- Dermatology and Skin Cancer Center's National Provider Identifier (NPI) is 1093596652, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Dermatology and Skin Cancer Center?
- Dermatology and Skin Cancer Center is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Dermatology and Skin Cancer Center located?
- Dermatology and Skin Cancer Center's practice location on file with NPPES is 3302 Gerig Dr Ste 100, Bloomington, IL 61704-6343.
- What is Dermatology and Skin Cancer Center's phone number?
- The practice phone number listed in the NPPES registry for Dermatology and Skin Cancer Center is (309) 533-7070.
- Does Dermatology and Skin Cancer Center accept Medicare?
- Dermatology and Skin Cancer Center is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Dermatology and Skin Cancer Center?
- The authorized official listed on Dermatology and Skin Cancer Center's NPPES record is Adrienne Schupbach, Md/Practice Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Dermatology and Skin Cancer Center's NPI active?
- Yes — Dermatology and Skin Cancer Center's NPI (1093596652) is active in the NPPES registry as of the last update on 2024-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.