DERREK DAVIS (M.D.) – Anesthesiology Physician, NPI 1306902606

DERREK DAVIS (M.D.) is a healthcare provider. based in Elk grove village, Illinois. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. The NPI Number for DERREK DAVIS (M.D.) is 1306902606

Main info

Male
32 Years Of Experience
Accepts Medicare Assignment
Name
DERREK DAVIS (M.D.)
NPI
1306902606
Phone
(847) 495-1603
Address
800 BIESTERFIELD RD
Enumeration Date
29 December 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
7707867053
Graduation Year
1994 (32 years ago)
PAC ID
2668431065
Group Practice PAC ID
9436372323
Professional Enrollment ID
I20221205002651
Address ID
GA300142566CO5126XNEXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

2,631 ANESTHESIOLOGY in IL

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Provider Addresses for DERREK DAVIS (M.D.)

  • Alexian Brothers Medical Center, 800, Biesterfield Road, Elk Grove Village, Elk Grove Township, Cook County, Illinois, 60007, United States

    DEPT OF ANESTHESIA

    ELK GROVE VILLAGE, IL 600073311

    Phone: (847) 495-1603

    Fax: (847) 537-4866

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $61.

Total Amount is formed as General ($61) + Research ($0) + Ownership ($0) = $61.

Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Stryker Corporation ($42).

Total Amount

$61

General + Research + Ownership

Payments

3

Total payment records

General Amount

$61

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-15

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: 2022-12-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20041008001412IAnesthesiologyILTBD
I20221205002651IAnesthesiologyGATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope1111$0
View full utilization report →

Insurance plans in this area (ZIP 60007)

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Provider's Procedures

DERREK DAVIS (M.D.) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIL36620Insertion of arterial catheter for blood sampling or infusion, accessed through the skin1919

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: 9436372323View full group profile
NameSpecialtyState
Anesthesiology, Pain ManagementGA
-GA
Certified Registered Nurse Anesthetist (Crna)GA
-GA
Pain Management, AnesthesiologyGA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)MI

Reviews

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Frequently asked questions

What identifier follows DERREK DAVIS (M.D.) across health systems?
The NPI 1306902606 uniquely identifies DERREK DAVIS (M.D.) in U.S. healthcare data.
Should I treat DERREK DAVIS (M.D.) as an active provider?
Patients and plans typically see DERREK DAVIS (M.D.) as active in the national extract.
Which specialty label fits DERREK DAVIS (M.D.)?
NPPES ties DERREK DAVIS (M.D.) to Anesthesiology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit DERREK DAVIS (M.D.) in Elk Grove Village, Illinois?
For routing, start with Elk Grove Village, Illinois for DERREK DAVIS (M.D.), then verify phone and hours locally.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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