NPIMap

Organization Active NPI

Derick Dermatology, PLLC

  • Dermatology Physician
  • Geneva, IL
National Provider Identifier
1669066395
Registry record updated Sep 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
Legal business name
DERICK DERMATOLOGY, PLLC
Practice address
230 Commons Dr
Geneva, IL 60134-2522
Phone
(847) 381-8899
NPI assigned
Feb 23, 2021
Last updated
Sep 9, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2022

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

Authorized official

Name
Amy Jane DerickNPI 1245279884
Title
Sole Owner
Phone
(847) 381-8899

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X NU Primary
Non-Pharmacy Dispensing Site 332900000X NU

Addresses

Primary practice location

230 Commons Dr
Geneva, IL 60134-2522

Mailing address

230 Commons Dr
Geneva, IL 60134-2522

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060922000130 IL Part B Supplier - Clinic/Group Practice 1557366796 Receives reassigned benefits from 60 practitioners
18 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Plainfield, IL; Arlington Heights, IL; Skokie, IL; Orland Park, IL; Oak Park, IL; Oak Brook, IL; Northbrook, IL; Naperville, IL…

Other NPIs on the same Medicare enrollment 18

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 18

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2215884Derick Dermatology, LLC230 Commons Dr, Geneva, IL 60134Certificate of waiverMar 7, 2027

National Provider Directory

National Provider Directory
Tax ID family
Derick Dermatology LLC12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 59

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 59

NPI Registry JSON

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

{
    "created_epoch": "1614038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662681600000",
    "number": "1669066395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 COMMONS DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 COMMONS DR",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601342522",
            "telephone_number": "847-381-8899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DERICK DERMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-23",
        "last_updated": "2022-09-09",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "DERICK",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "JANE",
        "authorized_official_title_or_position": "SOLE OWNER",
        "authorized_official_telephone_number": "847-381-8899"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.