Amy Jane Derick, M.D

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

36112935 Issued in IL

Practice address

1531 S Grove Ave
Suite 101
Barrington, IL 60010-5240

Phone

(847) 381-8899

Fax

(847) 381-8999

NPI assigned

Jun 6, 2006

Last updated

Dec 16, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Amy Jane Farmer Former name

Electronic endpoints 2

Medicare fee-for-service enrollment

Enrolled in IL, FL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Dermatology

Education

University of Chicago, Pritzker School of Medicine, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Derick Dermatology PLLCGroup PAC ID 1557366796, 65 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Derick Dermatology, PLLC

  • Dermatology Physician
  • Wesley Chapel, FL
  • NPI 1861159675
  Medicare reassignment Care Compare group NPD Authorized official
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Crystal Lake, IL
  • NPI 1134664402
  Medicare reassignment Authorized official
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Arlington Heights, IL
  • NPI 1497792618
  NPD Authorized official
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Tampa, FL
  • NPI 1396455861
  NPD Authorized official
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Oak Park, IL
  • NPI 1154998425
  Authorized official Same address or phone
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Libertyville, IL
  • NPI 1174097836
  Authorized official Same address or phone
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Bartlett, IL
  • NPI 1225526627
  Authorized official Same address or phone
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Bolingbrook, IL
  • NPI 1275141251
  NPD (past) Authorized official
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Oak Brook, IL
  • NPI 1366009664
  NPD (past) Authorized official
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Lindenhurst, IL
  • NPI 1376017038
  NPD (past) Authorized official
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Naperville, IL
  • NPI 1386118057
  Authorized official Same address or phone
• Derick Dermatology, PLLC

  • Dermatology Physician
  • Barrington, IL
  • NPI 1386180198
  Authorized official Same address or phone

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639612800000",
    "number": "1245279884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1531 S GROVE AVE",
            "address_2": "SUITE 101",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105240",
            "telephone_number": "847-381-8899",
            "fax_number": "847-381-8999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1531 S GROVE AVE",
            "address_2": "SUITE 101",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600105240",
            "telephone_number": "847-381-8899",
            "fax_number": "847-381-8999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERICK",
        "first_name": "AMY",
        "middle_name": "JANE",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2021-12-16",
        "certification_date": "2021-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": "36112935",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://select.nextech-api.com/api",
            "affiliation": "N",
            "endpointDescription": "Derick Dermatology",
            "address_1": "1531 S Grove Ave",
            "address_2": "Suite 101",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600105240",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aderick@directaddress.net",
            "affiliation": "N",
            "endpointDescription": "Derick Dermatology",
            "address_1": "1531 S Grove Ave",
            "address_2": "Suite 101",
            "city": "Barrington",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600105240",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "FARMER",
            "middle_name": "JANE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Melanie S. Delmundo
• Bridget E Deluca
• Stephanie Lynn Deniger, NP-C
• Dental Sleep Center Richard a Craig DDS LTD (Midwest Dental Sleep Center)
• Derick Dermatology, PLLC
• Lisa F Derken, MD
• Dermatology Physicians & Surgeons, LTD (Van Dam Dermatology)
• Dermuss LTD
• Tricia Detig, M.S., CCC-SLP
• Margaret M Devault, P.A.-C

• Dermatology Physician in Barrington, IL
• Providers in Barrington, IL by specialty
• Dermatology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.