Paul Revis MD Sc
NPI 1952505422 · Dermatology Physician · Rockford, IL
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Paul Revis MD Sc is a Dermatology Physician organization in Rockford, IL (NPI 1952505422).
Provider details
- NPI number
- 1952505422
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Revis, Physician(815) 227-1055
- License
- 036067857 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2007-06-11
- Last updated
- 2026-03-16
- Certified
- 2026-03-16
Frequently asked questions
- What is Paul Revis MD Sc's NPI number?
- Paul Revis MD Sc's National Provider Identifier (NPI) is 1952505422, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Paul Revis MD Sc?
- Paul Revis MD Sc is classified in the NPPES registry as Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is Paul Revis MD Sc located?
- Paul Revis MD Sc's practice location on file with NPPES is 1055 Featherstone Rd Ste C, Rockford, IL 61107-5904.
- What is Paul Revis MD Sc's phone number?
- The practice phone number listed in the NPPES registry for Paul Revis MD Sc is (815) 227-1055.
- Does Paul Revis MD Sc accept Medicare?
- Paul Revis MD Sc 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 Paul Revis MD Sc?
- The authorized official listed on Paul Revis MD Sc's NPPES record is Paul Revis, Physician. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Paul Revis MD Sc's NPI active?
- Yes — Paul Revis MD Sc's NPI (1952505422) is active in the NPPES registry as of the last update on 2026-03-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.