Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Joy A Derusha, PA

Individual provider Medical Physician Assistant · NPI 1396940375

Joy A Derusha, PA is a Physician Assistant in Chicago, Illinois. Qualified in 2006, 20 years ago. Practices with Tca Health Inc Nfp, an 18-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
20
Licensed in
IL, IN
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1029 E 130th St
Chicago, IL 60643-4039
Phone: (773) 387-2519
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 085.002734 (IL)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 10000869A (IN)

Record details

NPI number1396940375
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedJune 19, 2007
Last updated in NPPESJune 5, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Tca Health Inc Nfp — 18 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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