DEREK LANCE BOHM PA
NPI 1437940186
Physician Assistant - Surgical in Elmhurst, IL
About Derek Lance Bohm Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK LANCE BOHM PA (NPI 1437940186) is an individual surgical provider in Elmhurst, Illinois, licensed in Illinois (085011428) and active in the NPI registry since May 2025. He is enrolled in Medicare PECOS, is affiliated with Elmhurst Memorial Hospital, and is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses 2
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
Derek Lance Bohm 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Elmhurst Memorial Hospital
Acute Care Hospitals · Elmhurst, ILEdward Hospital
Acute Care Hospitals · Naperville, ILOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ELMHURST, IL 60126
ELMHURST, IL 60126
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 Bohm's NPI number?
The NPI number for Derek Bohm is 1437940186. It was assigned to this individual provider in the NPPES registry on May 13, 2025.
Where is Derek Bohm located?
Derek Bohm practices at 1200 S York St, Elmhurst, IL 60126. The listed phone number is (630) 646-6020.
What is Derek Bohm's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.
Is Derek Bohm enrolled in Medicare?
Yes. Derek Bohm 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.
Is Derek Bohm affiliated with any hospitals?
According to CMS data, Derek Bohm is affiliated with Elmhurst Memorial Hospital and Edward Hospital.
When was this NPI record last updated?
The NPPES record for Derek Bohm was last updated on February 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Derek Lance Bohm, PA · NPI 1437940186
Surgical physician in Elmhurst, Illinois. Individual provider, active in the CMS NPPES registry since May 13, 2025.
## Identity
- **NPI:** 1437940186 (Entity type: Individual)
- **Enumerated:** May 13, 2025
- **Primary specialty:** Physician Assistant - Surgical · taxonomy 363AS0400X
- **State license:** 085011428 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 S YORK ST, Elmhurst, IL 60126-5626
- **Phone:** (630) 646-6020 · **Fax:** (331) 221-2341
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** February 23, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1437940186) · Data from the CMS NPPES public registry.