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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: July 26, 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, and ordering and referring status from the CMS PECOS system.

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.

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
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
TAE YEON KIM MD
Hospitalist
2650 RIDGE AVE., PEDIATRIC HOSPITALISTS
EVANSTON, IL 60201
Cook County (847) 570-1027

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.

When was this NPI record last updated?

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