Abdul Manan Dero, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

57.260671 Issued in OH

Practice address

4757 Lorain Ave
Cleveland, OH 44102-3442

Phone

(216) 696-3876

Fax

(216) 957-2404

NPI assigned

Jul 28, 2026

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1785196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785196800000",
    "number": "1033031489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 METROHEALTH DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441091900",
            "telephone_number": "216-778-4612",
            "fax_number": "216-957-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4757 LORAIN AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441023442",
            "telephone_number": "216-696-3876",
            "fax_number": "216-957-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERO",
        "first_name": "ABDUL MANAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-07-28",
        "last_updated": "2026-07-28",
        "certification_date": "2026-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "57.260671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Derenzo
• Abdo Michael Dergham, MD
• Bachar Dergham, MD
• Lena Dergham, M.D.
• Josephine Kam Tai Dermawan, M.B.B.S., PH.D.
• Douglas C Deroberts, LICDC II
• Carrie Derooy, PSY. S
• Anthony L Deross, M.D.
• Lily Jay Derrick
• Darla D Derrickson, CDCA QMHS CMS

• Family Medicine Physician in Cleveland, OH
• Providers in Cleveland, OH by specialty
• Family Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.