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DR. DEREK JOHN MATOKA MD
NPI 1316193824
Urology - Pediatric Urology in Maywood, IL

Active since August 15, 2008PECOS Enrolled
2160 S 1ST AVE, BUILDING 54, MAYWOOD, IL 60153(708) 216-6266(708) 216-6585 Get Directions Write a Review

NPPES record last updated: March 2, 2012. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Derek John Matoka Md NPPES

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

DR. DEREK JOHN MATOKA MD (NPI 1316193824) is an individual pediatric urology provider in Maywood, Illinois, licensed in Illinois (036-121562) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1316193824
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameDR. DEREK JOHN MATOKACredential: MD
Location Address2160 S 1ST AVE, BUILDING 54Maywood, IL 60153-3328
Mailing Address2160 S 1st Ave, Building 54Maywood, IL 60153-3328 · (708) 216-6266 · Fax (708) 216-6585
Phone(708) 216-6266
Fax(708) 216-6585
Sole ProprietorNo
Enumeration DateAugust 15, 2008
Last NPPES UpdateMarch 2, 2012
✔ NPI 1316193824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in IL · 036-121562
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
2160 S 1ST AVE, Maywood, IL 60153
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Derek John Matoka Md 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.

Medicare Billing Reassignments

2

Medicare enrollment records show Derek Matoka reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Loyola University Medical Center
0.1 mi
General Practice
2160 S 1ST AVE
Maywood, IL 60153
  • Reassigned Medicare billing, Illinois enrollment
  • 1,138 clinicians in this Medicare group
NPI 1336159961 (708) 216-3215
Rockford Health Physicians
66 mi
Multi-Specialty
8201 E RIVERSIDE BLVD
Rockford, IL 61114
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1043242886 (608) 314-2428

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ANITA OZA NAGAMINE M.D.
Radiology (Diagnostic Radiology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
DR. BRYCE ANDREW PASCHOLD D.P.M.
Podiatrist (Foot & Ankle Surgery)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-4254
DR. ANTONIO HERNANDO IGLESIAS M.D.
Psychiatry & Neurology (Neurology)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
IAN CHARLES MCCOMB
Oral & Maxillofacial Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
JAMES WU D.O.
Psychiatry & Neurology (Psychiatry)
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-9000
PAIGE T SONG MD
Student in an Organized Health Care Education/Training Program
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888
ELIZABETH CHO
Orthopaedic Surgery
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (708) 216-1274
DR. CATHRYN T SAWALSKI DO, MBA
Internal Medicine
2160 S 1ST AVE
MAYWOOD, IL 60153
Cook County (888) 584-7888

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 Derek Matoka's NPI number?

The NPI number for Derek Matoka is 1316193824. It was assigned to this individual provider in the NPPES registry on August 15, 2008.

Where is Derek Matoka located?

Derek Matoka practices at 2160 S 1st Ave Building 54, Maywood, IL 60153. The listed phone number is (708) 216-6266.

What is Derek Matoka's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Derek Matoka enrolled in Medicare?

Yes. Derek Matoka is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Derek Matoka's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Derek Matoka reassigns Medicare benefits to 2 organizations: Loyola University Medical Center (Maywood, IL) and Rockford Health Physicians (Rockford, IL). Each 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 Derek Matoka's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Derek Matoka accept?

Health plans from Oscar Health list Derek Matoka as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Derek Matoka was last updated on March 2, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.