DEREK RAY MA DNP, FNP-BC
NPI 1720861354
Nurse Practitioner - Family in Chicago, IL

Q: What is Derek Ma's NPI number?

The NPI number for Derek Ma is 1720861354. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Q: What is Derek Ma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Derek Ma was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.

Active since August 16, 2023

1735 N ASHLAND AVE, CHICAGO, IL 60622(773) 784-9000 Get Directions Write a Review

NPPES record last updated: April 4, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 4, 2025, Oct 17, 2023, Aug 16, 2023 (3 updates tracked since 2023).

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About Derek Ray Ma Dnp, Fnp-bc NPPES

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

DEREK RAY MA DNP, FNP-BC (NPI 1720861354) is an individual family provider in Chicago, Illinois, licensed in Illinois (209.028458) and active in the NPI registry since August 2023.

NPPES Registry Identity

NPI1720861354

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDEREK RAY MACredential: DNP, FNP-BC

Location Address1735 N ASHLAND AVEChicago, IL 60622-1435

Mailing Address1735 N Ashland AveChicago, IL 60622-1435

Phone(773) 784-9000

Sole ProprietorNo

Enumeration DateAugust 16, 2023

Last NPPES UpdateApril 4, 20253 updates tracked since enumeration

NPPES CertifiedApril 4, 2025

✔ NPI 1720861354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in IL · 209.028458

1735 N ASHLAND AVE, Chicago, IL 60622

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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CITY HAVEN COUNELING

Psychologist

1735 N ASHLAND AVE, SUITE 201
CHICAGO, IL 60622

Cook County (312) 489-7490

DR. ROBERT J PORTSCHE JR. PSYD

Psychologist (Clinical)

1735 N ASHLAND AVE, SUITE 201
CHICAGO, IL 60622

Cook County (312) 519-8314

CITY HAVEN

Psychologist

1735 N ASHLAND AVE, OFFICE 201
CHICAGO, IL 60622

Cook County (847) 830-4992

DELILAH AMBERS

Nurse Practitioner (Psychiatric/Mental Health)

1735 N ASHLAND AVE
CHICAGO, IL 60622

Cook County (773) 784-9000

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 Ma's NPI number?

The NPI number for Derek Ma is 1720861354. It was assigned to this individual provider in the NPPES registry on August 16, 2023.

Where is Derek Ma located?

Derek Ma practices at 1735 N Ashland Ave, Chicago, IL 60622. The listed phone number is (773) 784-9000.

What is Derek Ma's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Derek Ma was last updated on April 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.