NPIMap

Individual provider Active NPI

Derek McCleaf, MD

  • Vascular & Interventional Radiology Physician
  • Maywood, IL
National Provider Identifier
1538587191
Registry record updated Jun 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
036.149329 Issued in IL
Practice address
2160 S 1St Ave
Maywood, IL 60153-3328
Phone
(717) 503-9955
NPI assigned
Apr 1, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 036.149329 IL Primary

Addresses

Primary practice location

2160 S 1St Ave
Maywood, IL 60153-3328

Mailing address

2160 S 1St Ave
Maywood, IL 60153-3328
Phone (717) 503-9955

Other practice location 1

500 University Dr
Hershey, PA 17033-2360
Phone (717) 531-8557

Other identifiers 1

IdentifierTypeStateIssuer
1538587191MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200714000418 PA Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1557594975 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Pennsylvania State University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1701 Innovation Dr
York, PA 17408-8815
Phone (717) 932-5200

1995 Technology Pkwy
Mechanicsburg, PA 17050-8522
Phone (717) 932-5200

2645 Stevenson Dr
York, PA 17404-8541
Phone (717) 932-5200

4300 Londonderry Rd
Harrisburg, PA 17109-5317
Phone (717) 932-5200

503 N 21St St
Camp Hill, PA 17011-2204
Phone (717) 234-2561

51 Business Campus Way
Suite 100
Duncannon, PA 17020-9596
Phone (717) 932-5200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036.149329ILMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Pittsburgh Physicians Current Accepting new patients
Geisinger Clinic CurrentSince Aug 17, 2020 Accepting new patients
Penn State Health Medical Group, LLC CurrentSince Oct 1, 2022 Accepting new patients
University of Pittsburgh Physicians Vascular & Interventional Radiology CurrentSince Feb 24, 2021 Accepting new patients
Penn State Health Medical Group, LLC Current Accepting new patients
Geisinger Clinic Current Accepting new patients
Quantum Imaging & Therapeutic Associates Inc Vascular & Interventional Radiology CurrentSince Jul 1, 2020 Accepting new patients
Geisinger Clinic CurrentSince Aug 17, 2020 Accepting new patients

Locations

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

423 N 21st St
Ste 202
Camp Hill, PA 17011
Phone (717) 763-9880

100 N Academy Ave
Danville, PA 17822

51 Business Campus Way
Ste 100
Duncannon, PA 17020
Phone (717) 834-3280

1120 Cocoa Ave
Hershey, PA 17033
Phone (717) 533-4141

500 University Dr
Hershey, PA 17033
Phone (717) 531-8181

629D Lowther Rd
Lewisberry, PA 17339
Phone (717) 938-2765

200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553

1701 Innovation Dr
York, PA 17408
Phone (717) 843-8623

Organizations & group practices 8

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559865600000",
    "number": "1538587191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "717-503-9955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2160 S 1ST AVE",
            "city": "MAYWOOD",
            "state": "IL",
            "postal_code": "601533328",
            "telephone_number": "717-503-9955"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 University Dr",
            "address_purpose": "LOCATION",
            "city": "Hershey",
            "state": "PA",
            "postal_code": "170332360",
            "country_code": "US",
            "telephone_number": "717-531-8557",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLEAF",
        "first_name": "DEREK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2019-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IL",
            "license": "036.149329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538587191",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maywood, IL

Sources for this page

Verify at the official NPI Registry.