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JOY A DERUSHA PA
NPI 1396940375
Physician Assistant in Chicago, IL

Active since June 19, 2007PECOS EnrolledAccepts Medicare Assignment
1029 EAST 130TH STREET, CHICAGO, IL 60643(773) 387-2519 Get Directions Write a Review

NPPES record last updated: June 5, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Joy A Derusha Pa NPPES

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

JOY A DERUSHA PA (NPI 1396940375) is an individual physician assistant in Chicago, Illinois, licensed in Illinois (085.002734) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, is affiliated with Ingalls Memorial Hospital, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1396940375
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJOY A DERUSHACredential: PA
Location Address1029 EAST 130TH STREETChicago, IL 60643-4039
Mailing Address1029 East 130th StreetChicago, IL 60643-4039 · (773) 995-6300
Phone(773) 387-2519
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 19, 2007
Last NPPES UpdateJune 5, 2015
✔ NPI 1396940375 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IL · 085.002734
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 10000869A (IN)
1029 EAST 130TH STREET, Chicago, IL 60643
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joy A Derusha Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4688802176
PECOS Enrollment IDI20140203000922
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ingalls Memorial Hospital

Acute Care Hospitals · Harvey, IL
2/5 CMS rating
OwnershipPhysician
CMS Certification Number140191
Location1 Ingalls DriveHarvey, IL 60426 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60643 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Joy Derusha's NPI number?

The NPI number for Joy Derusha is 1396940375. It was assigned to this individual provider in the NPPES registry on June 19, 2007.

Where is Joy Derusha located?

Joy Derusha practices at 1029 East 130th Street, Chicago, IL 60643. The listed phone number is (773) 387-2519.

What is Joy Derusha's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Joy Derusha enrolled in Medicare?

Yes. Joy Derusha is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Joy Derusha accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Joy Derusha 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.

Is Joy Derusha affiliated with any hospitals?

According to CMS data, Joy Derusha is affiliated with Ingalls Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joy Derusha was last updated on June 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.