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DERRICK ANTHONY MACKAVICH D.O.
NPI 1043326317
Anesthesiology in Chicago, IL

Active since August 21, 2006PECOS Enrolled
2320 E 93RD ST, ADVOCATE TRINITY HOSPITAL, CHICAGO, IL 60617(773) 967-2000(773) 967-2000 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Derrick Anthony Mackavich D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DERRICK ANTHONY MACKAVICH D.O. (NPI 1043326317) is an individual anesthesiology provider in Chicago, Illinois and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043326317
Entity TypeIndividualMale
Primary Taxonomy207L00000X
Provider Legal NameDERRICK ANTHONY MACKAVICHCredential: D.O.
Location Address2320 E 93RD ST, ADVOCATE TRINITY HOSPITALChicago, IL 60617-3983
Mailing Address1435 W Henderson St # 3Chicago, IL 60657-2103 · (773) 327-5058 · Fax (773) 327-5058
Phone(773) 967-2000
Fax(773) 967-2000
Sole ProprietorNo
Enumeration DateAugust 21, 2006
Last NPPES UpdateJuly 9, 2007
✔ NPI 1043326317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologyAllopathic & Osteopathic Physicians
Taxonomy Code207L00000X
Definition
An anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.
2320 E 93RD ST, Chicago, IL 60617
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Other Identifiers 4

Medicare PINK04208IL
Medicaid036110111 1IL
Other0001620300IL · Bluecross Blueshild Of Il
Medicare UPINI01671IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derrick Anthony Mackavich D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for lens surgery 00142
Anesthesia for lens surgery involves administering medication to numb the eye area, ensuring you feel no pain during the procedure. This can be a local anesthetic (numbing only the eye area) or general (where you're asleep). It helps make the surgery comfortable and stress-free.
144 services138 patients
Anesthesia for other procedure on eye 00140
Anesthesia for an eye procedure involves administering medication to numb your eye and surrounding area, ensuring you feel no pain during the operation. It can be local (only the eye area) or general (whole body). It's safe and helps make the procedure comfortable.
21 services20 patients

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KHADIJA MOTAN
Physician Assistant
2320 E 93RD ST
CHICAGO, IL 60617
Cook County (773) 967-5430
WEI WANG
Physical Therapist
2320 E 93RD ST
CHICAGO, IL 60617
Cook County (773) 967-5221
AGNIESZKA JOANNA RADZISZEWSKA MD
Emergency Medicine
2320 E 93RD ST
CHICAGO, IL 60617
Cook County (773) 967-5430
DENISHA LANG FNP
Nurse Practitioner (Family)
2320 E 93RD ST
CHICAGO, IL 60617
Cook County (773) 967-3000
NATNICHA SONGTHANGTHAM DPT
Physical Therapist
2320 E 93RD ST
CHICAGO, IL 60617
Cook County (773) 967-2000
ALLYN GRACE MADDEN PA-C
Physician Assistant
2320 E 93RD ST
CHICAGO, IL 60617
Cook County (773) 967-5430
CARMEN ALYCE PRATER-BELLVER PA-C
Physician Assistant
2320 E 93RD ST
CHICAGO, IL 60617
Cook County (773) 967-5430
JESSICA LYNN FRITH FNP-BC
Nurse Practitioner
2320 E 93RD ST
CHICAGO, IL 60617
Cook County (773) 967-5430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Derrick Mackavich's NPI number?

The NPI number for Derrick Mackavich is 1043326317. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Derrick Mackavich located?

Derrick Mackavich practices at 2320 E 93rd St Advocate Trinity Hospital, Chicago, IL 60617. The listed phone number is (773) 967-2000.

What is Derrick Mackavich's specialty?

The primary specialty registered for this NPI is Anesthesiology with taxonomy code 207L00000X.

Is Derrick Mackavich enrolled in Medicare?

Yes. Derrick Mackavich is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Derrick Mackavich was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.