Derek Ray Ma, DNP, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.028458 Issued in IL

Practice address

1735 N Ashland Ave
Chicago, IL 60622-1435

Phone

(773) 784-9000

NPI assigned

Aug 16, 2023

Last updated

Apr 4, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• The Night Ministry

  • Voluntary or Charitable Agency
  • Chicago, IL
  • NPI 1316356850
  NPD Authorized official
• The Night Ministry

  • Respite Care
  • Chicago, IL
  • NPI 1245141043
  Authorized official Same address or phone
• The Night Ministry

  • Case Manager/Care Coordinator
  • Chicago, IL
  • NPI 1528972304
  Authorized official Same address or phone

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1720861354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 N ASHLAND AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606221435",
            "telephone_number": "773-784-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MA",
        "first_name": "DEREK",
        "middle_name": "RAY",
        "credential": "DNP, FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-16",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.028458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Shau Ping Ma, M.D.
• Alicia Ma
• CHI Wing Ma
• Cyrus Ma, PA-C
• Daniel Xing Ma
• Irene Ma, D.C.
• Jacqueline S Ma, CNM
• Joy Ma, MD
• Junyi Ma
• Liliana Ma

• Family Nurse Practitioner in Chicago, IL
• Providers in Chicago, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.