NPIMap

Individual provider Active NPI

Brittany Derra, D.O.

  • Internal Medicine Physician
  • Rochester Hills, MI
National Provider Identifier
1033473632
Registry record updated Jul 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
5101019947 Issued in MI
Practice address
1701 South Boulevard E
Suite 290
Rochester Hills, MI 48307-6116
Phone
(734) 464-0887
Fax
(734) 402-0254
NPI assigned
Jun 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 5101019947 MI Primary

Addresses

Primary practice location

1701 South Boulevard E
Suite 290
Rochester Hills, MI 48307-6116

Mailing address

1701 South Boulevard E
Suite 290
Rochester Hills, MI 48307-6116
Phone (734) 464-0887

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150619001365 MI Practitioner - Internal Medicine 1254650948 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Michigan State University College of Osteopathic Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Arcturus Healthcare PLCGroup PAC ID 7012143118, 63 clinicians

Practice addresses (Care Compare)

1701 S Blvd E
Rochester Hills, MI 48307-6116

4600 Investment Dr
Troy, MI 48098-6368
Phone 24826750003025

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Jul 1, 2015 Accepting new patients
Arcturus Healthcare PLC Internal Medicine CurrentSince Mar 8, 2022 Accepting new patients
Arcturus Healthcare PLC Internal Medicine CurrentSince Mar 8, 2022 Accepting new patients
Macomb Oakland Adult Medicine PC Internal Medicine Current Accepting new patients

Locations

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

36123 Schoolcraft Rd
Livonia, MI 48150
Phone (734) 793-6140

1701 South Blvd E
Ste 290
Rochester Hills, MI 48307
Phone (248) 997-7000

1701 South Blvd E
Ste 250
Rochester Hills, MI 48307
Phone (248) 293-1002

Interoperability endpoints

  • Direct secure messaging: brittanyderra@pmg.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1340755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657584000000",
    "number": "1033473632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BOULEVARD E",
            "address_2": "SUITE 290",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076116",
            "telephone_number": "734-464-0887",
            "fax_number": "734-402-0254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BOULEVARD E",
            "address_2": "SUITE 290",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076116",
            "telephone_number": "734-464-0887",
            "fax_number": "734-402-0254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERRA",
        "first_name": "BRITTANY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-27",
        "last_updated": "2022-07-12",
        "certification_date": "2022-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5101019947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.