Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Amira Al-Basha, PA-C

Individual provider Physician Assistant · NPI 1871063776

Amira Al-Basha, PA-C is a Physician Assistant in Rockford, Illinois. Qualified in 2018, 8 years ago. Practices with Edgebrook Dermatology PC, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
8
Licensed in
IL
In the registry since
2018
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1639 N Alpine Rd Ste 380
Rockford, IL 61107-1440
Phone: (815) 229-9333
Fax: (815) 229-7288
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 085.006967 (IL)
Physician Assistant Taxonomy 363A00000X · Licence 085006967 (IL)

Record details

NPI number1871063776
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedDecember 4, 2018
Last updated in NPPESMarch 20, 2026
Certification dateMarch 20, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Edgebrook Dermatology P.C. — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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