NPPES file of Aug 9, 2026

Derek Roydavis, PA-C

Physician Assistant · Park Ridge, IL

Derek Roydavis, PA-C is a physician assistant with a practice address in Park Ridge, Illinois, and NPI 1265102826, issued on Sep 15, 2021. Check the license with the Illinois board that licenses this profession; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1265102826
Name
Derek Roydavis
Credential
PA-C
Primary taxonomy
Physician Assistant 363A00000X
Practice location
1700 Luther LN Ste 1170, Park Ridge, IL 60068
Phone
(844) 376-3876
Enumerated
Sep 15, 2021
Record last updated
Mar 9, 2022
Medicare enrollment
Enrolled (PECOS I20220119001565); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1700 Luther LN Ste 1170

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Zayed Almadidy, M.D.Neurological Surgery Physician1518498716
  2. Molly Baker, PA-CPhysician Assistant1104398965
  3. Bridget Cantrell, APN, ACNPNurse Practitioner1205185741
  4. Alexandra Ciraulo, FNP-BCNurse Practitioner1285397901
  5. Haley ClarkPhysician Assistant1861024416
  6. Marie Cogley, MSN, APRN, FNP-BCCritical Care Pediatric Nurse Practitioner1821759333

Verify Derek Roydavis in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersWhich Illinois board licenses this professionCheck the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Find the Illinois license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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Industry payments in 2024: $173.92

3 payments; by number, the most common kind was food and beverage; the largest payer was Medical Device Business Services, Inc. The 64,719 providers of this specialty with any payment received $841.65 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Derek Roydavis$173.92
  2. Specialty average$841.65

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Advocate Health And Hospitals CorporationElgin, IL

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Derek Roydavis among 4,926 physician assistant records in Illinois

Derek Roydavis, PA-C is one of 4,926 physician assistant records with a practice address in Illinois. 82% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2021, is newer than 66% of them.

  • NPI issued2021 · 66% of these records are older, 29% newer
  • In a Medicare fileYes · 82% of these records are
  • In the CMS Doctors and Clinicians fileYes · 69% of these records are
  • Graduated2021 · median 2019 among the 3,407 with a school on file
  • Record last updated2022 · 35% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 363A00000X and a Illinois practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

61 physician assistant records list a practice address in Park Ridge

They are 61 of the 2,577 NPPES records with a practice address in Park Ridge, and 4,926 physician assistant records in Illinois.

The 8 physician assistant records with the nearest ZIP codes

  1. Kelly Ali, PHYSICIAN ASSISTANTPark Ridge, IL 600681659656049
  2. Dominique Azarcon, PA-CPark Ridge, IL 600681780918920
  3. Carissa Griffith, P.A.Park Ridge, IL 600681134368194
  4. Brian Hennig, PA-CPark Ridge, IL 600681457439408
  5. Leah Kampas, P.A.Park Ridge, IL 600681588778906
  6. Tara Lykowski, PA-CPark Ridge, IL 600681023092319
  7. Ashley Mores, PA-CPark Ridge, IL 600681558617910
  8. Donna Mullahy, PA-CPark Ridge, IL 600681386722783

Common questions

What is Derek Roydavis, PA-C's NPI number?

Derek Roydavis, PA-C's National Provider Identifier (NPI) is 1265102826, issued on Sep 15, 2021. An NPI identifies a provider in billing; it is not a license.

Where is Derek Roydavis, PA-C located?

The NPPES record lists a practice address at 1700 Luther LN Ste 1170, Park Ridge, IL, 60068. Phone: (844) 376-3876. Providers update this record themselves, so call before visiting.

How can I verify Derek Roydavis, PA-C's license?

Search the Illinois board that licenses this profession; the NPPES record confirms identity only.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.