DEREK WILLIAM ALTEMA – Emergency Medicine Physician, NPI 1023663671

DEREK WILLIAM ALTEMA is a healthcare provider. based in Chicago, Illinois. specializing in EMERGENCY MEDICINE. They hold a License No. 125.076264 (IL). The NPI Number for DEREK WILLIAM ALTEMA is 1023663671

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
DEREK WILLIAM ALTEMA
NPI
1023663671
Phone
(773) 702-3820
Address
5841 S MARYLAND AVE # MC5068
Enumeration Date
9 August 2019
Last Update Date
30 August 2024

Doctor Profile

Medical School Name
HOWARD UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
2020 (6 years ago)
PAC ID
4082037601
Group Practice PAC ID
2062312291
Professional Enrollment ID
I20231201001681
Address ID
CA904041249SA1250XSTXX300

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:6State licenses:2Other namesUpdated within 12 months

2,845 EMERGENCY MEDICINE in IL

Provider Addresses for DEREK WILLIAM ALTEMA

  • 5841 S MARYLAND AVE # MC5068

    CHICAGO, IL 606371443

    Phone: (773) 702-3820

    Type: Location

  • 5767 W CENTURY BLVD STE 400

    LOS ANGELES, CA 900455631

    Phone:

    Type: Mailing

  • 757 WESTWOOD PLZ STE 1517

    LOS ANGELES, CA 900953132

    Phone: (310) 825-9111

    Type: Location

  • 1830 E Monument St Ste 6-100

    Baltimore, MD 212870020

    Phone: (443) 812-3628

    Type: Location

  • 450 Broadway St # Mc6342

    Redwood City, CA 940633132

    Phone: (650) 721-1446

    Type: Location

  • 5841 S Maryland Ave # Mc5068

    Chicago, IL 606371443

    Phone: (773) 702-3820

    Type: Location

  • Harvester Drive, Burr Ridge, DuPage County, Illinois, 65027, United States

    BURR RIDGE, IL 605276686

    Phone: (773) 702-1150

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $167.

Total Amount is formed as General ($167) + Research ($0) + Ownership ($0) = $167.

Last reported payment date: 2024-07-22 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($122).

Total Amount

$167

General + Research + Ownership

Payments

2

Total payment records

General Amount

$167

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-07-22

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-12-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20231201001681IEmergency MedicineCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60637)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062312291View full group profile
NameSpecialtyState
Physician AssistantCA
Physician AssistantCA
Orthopedic Surgery, Sports MedicineCA
Sports Medicine, Orthopedic SurgeryCA
-CA
Orthopedic Surgery, Sports MedicineCA
Orthopedic SurgeryCA
-CA
Orthopedic SurgeryCA
Nurse PractitionerCA

Reviews

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Frequently asked questions

What is the registry number for DEREK WILLIAM ALTEMA?
The registry entry for DEREK WILLIAM ALTEMA shows NPI 1023663671.
Is DEREK WILLIAM ALTEMA currently accepting referrals based on NPI status?
Registry metadata lists DEREK WILLIAM ALTEMA as active.
Which specialty label fits DEREK WILLIAM ALTEMA?
NPPES ties DEREK WILLIAM ALTEMA to Emergency Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DEREK WILLIAM ALTEMA in Chicago, Illinois?
For routing, start with Chicago, Illinois for DEREK WILLIAM ALTEMA, then verify phone and hours locally.
Who maintains DEREK WILLIAM ALTEMA's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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