Active NPI
Melody Joy Derrick, M.D.
- Family Medicine Physician
- Winfield, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-114979
- Practice address
- 25 N Winfield Rd
Winfield, IL 60190-1295 - Phone
- (630) 260-0600
- Fax
- (630) 260-1370
- NPI assigned
- Oct 12, 2006
- 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 | 036-114979 | IL | Primary |
Addresses
Primary practice location
25 N Winfield Rd
Winfield, IL 60190-1295
Mailing address
25 N Winfield Rd
Winfield, IL 60190-1295
Phone (630) 260-0600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00386296 | Other | IL | RR MEDICARE (INDIVIDUAL) |
| 036114979 | Medicaid | IL |
Other names 1
- Dr. Melody Joy Derrick
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
- University of Missouri, Kansas City, School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1800 N Main St
Wheaton, IL 60187-3112
Phone (630) 933-4800
25 N Winfield Rd
Winfield, IL 60190-1295
2900 Foxfield Rd
St Charles, IL 60174-5799
Hospital & facility affiliations
- DMJ Home Health Services, Inc
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine Delnor Community Hospital
- Palos Community Hospital
- Northwestern Medicine Kishwaukee Hospital
- Northwestern Medicine McHenry
- Marianjoy Rehabilitation Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.63 of 100
- Quality
- 88.47
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-114979 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Dupage Physician Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Family Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
Dept 5777
Carol Stream, IL 60122
Carol Stream, IL 60122
Phone (630) 933-3300
2900 Foxfield Rd
St Charles, IL 60174
Phone (630) 377-6500
1800 N Main St
#102
Wheaton, IL 60187
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
1800 N Main St
Ste 102
Wheaton, IL 60187
Phone (630) 260-0600
25 N Winfield Rd
Ste 401
Winfield, IL 60190
Phone (630) 933-4200
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Carol Stream, IL
- NPI 1033149844
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Geneva, IL
- NPI 1407859655
-
- Home Health Agency
- Aurora, IL
- NPI 1154532315
-
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
-
- Rehabilitation Hospital
- Wheaton, IL
- NPI 1083660658
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- McHenry, IL
- NPI 1982611281
-
- Psychiatric Hospital Unit
- Palos Heights, IL
- NPI 1184699118
-
- General Acute Care Hospital
- Palos Heights, IL
- NPI 1851386692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364947200000",
"number": "1407945827",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 N WINFIELD RD",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901295",
"telephone_number": "630-260-0600",
"fax_number": "630-260-1370"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 N WINFIELD RD",
"city": "WINFIELD",
"state": "IL",
"postal_code": "601901295",
"telephone_number": "630-260-0600",
"fax_number": "630-260-1370"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERRICK",
"first_name": "MELODY",
"middle_name": "JOY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2013-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036-114979",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE (INDIVIDUAL)",
"identifier": "P00386296",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036114979",
"state": "IL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MELODY",
"last_name": "DERRICK",
"middle_name": "JOY",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Winfield, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2013; 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.