Douglas P Derleth

M.D. | Pediatric Neonatal-Perinatal Medicine | Male

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Complete Profile:

Douglas P Derleth basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Neonatal-Perinatal Medicine
Provider Name :	Douglas P Derleth
Credential :	M.D.
Gender :	Male

Business Address:

Douglas P Derleth address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	200 1st St Sw Rochester, MN, 55905-0001 United States
Phone Number :	507-284-2511

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1881671063
NPI Entity Type :	Individual
First Enrolment Date :	28 Dec, 2005
Last Updated On :	13 Aug, 2020

Medicare Participation:

Douglas P Derleth participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	2365521523
Medicare Enrollment ID :	I20080430000180
Primary Specialty :	Pediatric Medicine
Medical School :	Wayne State University School Of Medicine
Graduation Year :	1981
Accepts Medicare?	Yes. Douglas P Derleth accepts medicare insurance.

Group Practice Association:

Douglas P Derleth is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Douglas P Derleth is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Mayo Clinic	6507778255	4109	200 1st St Sw Rochester, MN - 559050001 Ph: 5072842511	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Douglas P Derleth are as mentioned. Primary taxonomy code for Douglas P Derleth, M.D. is 2080N0001X (Pediatrics Neonatal-Perinatal Medicine).

Taxonomy Code	Speciality	Primary	License No.	State
207RC0200X	Internal Medicine Critical Care Medicine	No	31447	MN
2080N0001X	Pediatrics Neonatal-Perinatal Medicine	Yes	31447	MN

Endpoints:

Endpoints provide a simple, secure, scalable, and standards-based way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the Internet. It is used by EHR systems (Electronic Health Records).

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	200 1st St Sw Rochester, MN, 55905-0001 United States
Phone Number :	507-284-2511

Business Location:

Patients can refer following map for directions to Douglas P Derleth practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.