MD FAMILY MEDICAL PRACTICE LLC
NPI 1285216242
Clinic/Center - Primary Care in Chicago, IL
About Md Family Medical Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MD FAMILY MEDICAL PRACTICE LLC (NPI 1285216242) is a healthcare organization registered as a primary care in Chicago, Illinois and active in the NPI registry since April 2021. The organization maintains a secondary practice location in Summit and lists Maria Derylo, Dnp, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Md Family Medical Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to MD Family Medical Practice LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 MD Family Medical Practice LLC's NPI number?
The NPI number for MD Family Medical Practice LLC is 1285216242. It was assigned to this organization in the NPPES registry on April 28, 2021.
Where is MD Family Medical Practice LLC located?
MD Family Medical Practice LLC is located at 7425 W Irving Park Rd, Chicago, IL 60634. The listed phone number is (847) 975-6263.
What is MD Family Medical Practice LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is MD Family Medical Practice LLC enrolled in Medicare?
Yes. MD Family Medical Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through MD Family Medical Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Nurse Practitioner) reassigns their Medicare billing to MD Family Medical Practice LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for MD Family Medical Practice LLC was last updated on September 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months 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.
# Md Family Medical Practice Llc · NPI 1285216242
Primary Care organization in Chicago, Illinois. Organization record, active in the CMS NPPES registry since April 28, 2021.
## Identity
- **NPI:** 1285216242 (Entity type: Organization)
- **Enumerated:** April 28, 2021
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Maria Derylo, DNP
## Practice location
- **Address:** 7425 W IRVING PARK RD, Chicago, IL 60634-2139
- **Phone:** (847) 975-6263 · **Fax:** (888) 907-8030
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Nurse Practitioner) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1285216242) · Data from the CMS NPPES public registry.