DR. DEREK EARL BOOZ DC
NPI 1790612059
Chiropractor in Chicago, IL
About Dr. Derek Earl Booz Dc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DEREK EARL BOOZ DC (NPI 1790612059) is an individual chiropractor in Chicago, Illinois, licensed in Illinois (038.014442) and active in the NPI registry since May 2026. He is a graduate of Other (2026).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Derek Earl Booz Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Derek Booz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Evanston, IL 60201
- Reassigned Medicare billing, Illinois enrollment
- 3 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Booz's NPI number?
The NPI number for Derek Booz is 1790612059. It was assigned to this individual provider in the NPPES registry on May 8, 2026.
Where is Derek Booz located?
Derek Booz practices at 3324 N Panama Ave, Chicago, IL 60634. The listed phone number is (215) 631-2919.
What is Derek Booz's specialty?
The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.
Is Derek Booz enrolled in Medicare?
Yes. Derek Booz is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Derek Booz's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Booz reassigns Medicare benefits to Evolution Spine & Sports Therapy, LLC (Evanston, IL). The 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 Derek Booz'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 Derek Booz was last updated on May 8, 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.
# Dr. Derek Earl Booz, DC · NPI 1790612059
Chiropractor provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since May 8, 2026.
## Identity
- **NPI:** 1790612059 (Entity type: Individual)
- **Enumerated:** May 8, 2026
- **Primary specialty:** Chiropractor · taxonomy 111N00000X
- **State license:** 038.014442 (Illinois)
- **Sole proprietor:** No
## Practice location
- **Address:** 3324 N PANAMA AVE, Chicago, IL 60634-2921
- **Phone:** (215) 631-2919
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Evolution Spine & Sports Therapy, LLC (NPI 1508224247, Evanston, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2026
## Record status
- **NPPES last updated:** May 8, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1790612059) · Data from the CMS NPPES public registry.