Active NPI
Lisa F Derken, MD
- Family Medicine Physician
- Barrington, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036095963
- Practice address
- 400 Fox Glen Dr
Barrington, IL 60010-1824 - Phone
- (847) 382-9150
- Fax
- (847) 382-9155
- NPI assigned
- Oct 13, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036095963 | IL | Primary |
Addresses
Primary practice location
400 Fox Glen Dr
Barrington, IL 60010-1824
Mailing address
29373 Network PL
Chicago, IL 60673-1293
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036095963 | Medicaid | IL |
Other names 1
- Lisa F Ricke
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lderken237827@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DUSTU2 |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Rush Medical College of Rush University, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
27790 W Hwy 22
Barrington, IL 60010-2396
400 Fox Glen CT
Barrington, IL 60010-1824
Phone (847) 382-9150
4847 Hoffman Blvd
Hoffman Estates, IL 60192-3722
Phone (847) 685-4646
525 E Congress Pkwy
Crystal Lake, IL 60014-6258
Hospital & facility affiliations
- Advocate Home Health Care Serv
- Advocate Good Shepherd Hospital
- Advocate Illinois Masonic Medical Center
- Advocate Sherman Hospital
- Advocate Condell Medical Center
- Northwestern Medicine McHenry
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients |
Locations
27790 W Highway 22
Ste 1
Barrington, IL 60010
Phone (312) 676-9892
400 Fox Gln
Barrington, IL 60010
Phone (847) 382-9150
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
Interoperability endpoints
- lderken237827@direct.myadvocateaurora.org
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 and National Provider Directory roles.
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Children's Hospital
- Oak Lawn, IL
- NPI 1508315516
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Libertyville, IL
- NPI 1124272547
-
- Mobile Mammography Clinic/Center
- Grayslake, IL
- NPI 1770737199
Hospital
-
- General Acute Care Hospital
- Barrington, IL
- NPI 1447368071
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1912014564
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- Home Health Agency
- Oak Brook, IL
- NPI 1598732075
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742947200000",
"number": "1336137207",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29373 NETWORK PL",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606731293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 FOX GLEN DR",
"city": "BARRINGTON",
"state": "IL",
"postal_code": "600101824",
"telephone_number": "847-382-9150",
"fax_number": "847-382-9155"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERKEN",
"first_name": "LISA",
"middle_name": "F",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-13",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036095963",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036095963",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lderken237827@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "400 Fox Glen Dr",
"city": "Barrington",
"state": "IL",
"country_code": "US",
"postal_code": "600101824",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DUSTU2",
"affiliation": "N",
"address_1": "400 Fox Glen Dr",
"city": "Barrington",
"state": "IL",
"country_code": "US",
"postal_code": "600101824",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "LISA",
"last_name": "RICKE",
"middle_name": "F",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Barrington, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; 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.