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DR. MATTHEW DERRICK MD
NPI 1568544658
Pediatrics - Neonatal-Perinatal Medicine in Evanston, IL

Active since October 19, 2006PECOS Enrolled
2650 RIDGE AVE., DIVISION OF NEONATOLOGY, WALGREEN BLDG RM 1505, EVANSTON, IL 60201(847) 570-2033(847) 570-0231 Get Directions Write a Review

NPPES record last updated: March 31, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 31, 2021, Nov 21, 2018, Oct 31, 2018 (3 updates tracked since 2018).

About Dr. Matthew Derrick Md NPPES

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

DR. MATTHEW DERRICK MD (NPI 1568544658) is an individual neonatal-perinatal medicine provider in Evanston, Illinois, licensed in Illinois (036087810) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568544658
Entity TypeIndividualMale
Primary Taxonomy2080N0001X
Provider Legal NameDR. MATTHEW DERRICKCredential: MD
Location Address2650 RIDGE AVE., DIVISION OF NEONATOLOGY, WALGREEN BLDG RM 1505Evanston, IL 60201-1718
Mailing Address2650 Ridge Ave., Division Of Neonatology, Walgreen Bldg Rm 1505Evanston, IL 60201-1718 · (847) 570-2033 · Fax (847) 570-0231
Phone(847) 570-2033
Fax(847) 570-0231
Sole ProprietorNo
Enumeration DateOctober 19, 2006
Last NPPES UpdateMarch 31, 20213 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
✔ NPI 1568544658 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IL · 036087810
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
2650 RIDGE AVE., Evanston, IL 60201
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew Derrick 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 Matthew Derrick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Endeavor Health Medical Group
Same address
Anesthesiology
2650 RIDGE AVE, ANESTHESIOLOGY ROOM 3905
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1265695944 (847) 570-2760
Swedish Covenant Management Services, Inc
6.3 mi
Emergency Medicine
5140 N CALIFORNIA AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
  • 350 clinicians in this Medicare group
NPI 1962049551 (847) 570-2040

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.

JAMES FRANCIS KELLY DO
Hospitalist
2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201
Cook County (847) 570-1010
DR. MARY TILLEY JENKINS VOGEL MD
Obstetrics & Gynecology (Gynecologic Oncology)
2650 RIDGE AVE., KELLOGG CANCER CENTER
EVANSTON, IL 60201
Cook County (847) 570-2639
SUNITHA CHITRA SURESH MD
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2650 RIDGE AVE., SUITE 1420
EVANSTON, IL 60201
Cook County (847) 570-2860
BHAVIK KHAJURIA
Radiology (Diagnostic Radiology)
2650 RIDGE AVE., DEPT. OF RADIOLOGY
EVANSTON, IL 60201
Cook County (847) 570-2477
WAJDEY NESHEIWAT PA-C
Physician Assistant (Surgical)
2650 RIDGE AVE., DEPT. OF SURGERY WALGREEN 2507
EVANSTON, IL 60201
Cook County (847) 570-2560
AYMAN NAJIB MD
Hospitalist
2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201
Cook County (847) 570-1010
MATTHEW JOSEPH SADLOWSKY APN-CRNA
Nurse Anesthetist, Certified Registered
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA
EVANSTON, IL 60201
Cook County (847) 570-2760
KYLE PETTY MD
Anesthesiology
2650 RIDGE AVE., DEPT. OF ANESTHESIA
EVANSTON, IL 60201
Cook County (847) 570-2760

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 Matthew Derrick's NPI number?

The NPI number for Matthew Derrick is 1568544658. It was assigned to this individual provider in the NPPES registry on October 19, 2006.

Where is Matthew Derrick located?

Matthew Derrick practices at 2650 Ridge Ave. Division Of Neonatology, Walgreen Bldg Rm 1505, Evanston, IL 60201. The listed phone number is (847) 570-2033.

What is Matthew Derrick's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Matthew Derrick enrolled in Medicare?

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

Which organizations bill Medicare for Matthew Derrick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Derrick reassigns Medicare benefits to 2 organizations: Endeavor Health Medical Group (Evanston, IL) and Swedish Covenant Management Services, Inc (Chicago, 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 Matthew Derrick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Matthew Derrick was last updated on March 31, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.