Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Derek Roydavis, PA-C

Individual provider Medical Physician Assistant · NPI 1265102826

MS. Derek Roydavis, PA-C is a Physician Assistant in Park Ridge, Illinois. Qualified in 2021, 5 years ago. Practices with Advocate Health and Hospitals Corporation, a 3,079-clinician group, works from 2 locations and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2021
Specialties on file
3
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1700 Luther Ln Ste 1170
Park Ridge, IL 60068-1270
Phone: (844) 376-3876
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 41 Mesa Dr, Bethany, CT 06524-3093 — (203) 980-3234

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 1186126
Medical Physician Assistant Taxonomy 363AM0700X
Surgical Physician Assistant Taxonomy 363AS0400X

Record details

NPI number1265102826
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedSeptember 15, 2021
Last updated in NPPESMarch 9, 2022
Certification dateMarch 9, 2022
Mailing address29373 Network Pl, Chicago, IL 60673-1293

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Advocate Health And Hospitals Corporation — 3079 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Park Ridge