Individual provider Active NPI

Andrea Trombetta, PA

  • Physician Assistant
  • Naperville, IL
National Provider Identifier
1861021057
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.007779 Issued in IL
Practice address
1331 W 75TH St Ste 402
Naperville, IL 60540-9311
Phone
(630) 596-8045
Fax
(630) 590-9634
NPI assigned
Apr 8, 2020
Last updated
Jan 6, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.007779 IL Primary

Addresses

Primary practice location

1331 W 75TH St Ste 402
Naperville, IL 60540-9311

Mailing address

1331 W 75TH St Ste 402
Naperville, IL 60540-9311
Phone (630) 596-8045

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ATrombetta@baskodermatology.ezderm.info Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216000355 IL Practitioner - Physician Assistant 0446665947 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
R Franklin University of Med & Sci/Chicago Medical School, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Basko Dermatology, LLCGroup PAC ID 2769733310, 9 clinicians

Practice addresses (Care Compare)

1331 W 75TH St
Suite 402
Naperville, IL 60540-9311
Phone (630) 596-8045

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.44 of 100Reported as group
Quality
96.67
Promoting interoperability
98
Improvement activities
40
Cost
76.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.007779ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph a Franco, M.D. S.C. CurrentSince May 19, 2024 Accepting new patients

Locations

1331 W 75th St
Ste 402
Naperville, IL 60540
Phone (630) 596-8045

Interoperability endpoints

  • Direct secure messaging: atrombetta@baskodermatology.ezderm.info

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1861021057",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST STE 402",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409311",
            "telephone_number": "630-596-8045",
            "fax_number": "630-590-9634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 W 75TH ST STE 402",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605409311",
            "telephone_number": "630-596-8045",
            "fax_number": "630-590-9634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TROMBETTA",
        "first_name": "ANDREA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-04-08",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.007779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ATrombetta@baskodermatology.ezderm.info",
            "affiliation": "N",
            "endpointDescription": "EZDERM Direct Messaging",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1331 W 75th St Ste 402",
            "city": "Naperville",
            "state": "IL",
            "country_code": "US",
            "postal_code": "605409311",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

Verify at the official NPI Registry.