Individual provider Active NPI

Derrick John Hoover, M.D.

  • Family Medicine Physician
  • Binghamton, NY
National Provider Identifier
1043444573
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
217329 Issued in NC
Practice address
276-280 Robinson St
Binghamton, NY 13904-1659
Phone
(607) 722-2769
Fax
(607) 772-2095
NPI assigned
May 12, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 217329 NC Primary

Addresses

Primary practice location

276-280 Robinson St
Binghamton, NY 13904-1659

Mailing address

495 Flatbush Ave Ste C5
Brooklyn, NY 11225-3706

Other practice location 1

1011 Rock Quarry Rd
Raleigh, NC 27610-3825
Phone (919) 833-3111

Other identifiers 1

IdentifierTypeStateIssuer
2016-00777OtherNCNORTH CAROLINA MEDICAL BOARD LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150727002168 NY Practitioner - Family Practice 1355506791 Reassigns benefits to 2 organizations
I20161103000049 NC Practitioner - Family Practice 1355506791 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
217329NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cityblock Medical Practice, P.a. Family Medicine CurrentSince Jan 1, 2023 Accepting new patients
Twin Tier Pathology Associates, PC Current Accepting new patients
Our Lady of Lourdes Memorial Hospital Inc. CurrentSince Nov 5, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Sep 10, 2018 Accepting new patients
Guthrie Medical Group, P.C. Family Medicine CurrentSince Jul 1, 2015 Accepting new patients
Guthrie Medical Group, P.C. CurrentSince Jul 1, 2015 Accepting new patients
Neighborhood Urgent Care PLLC CurrentSince Jun 10, 2017 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. Family Medicine Current Accepting new patients
Southern Tier Medical Care - Ny PC CurrentSince Aug 1, 2022 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
University of North Carolina at Chapel Hill Family Medicine CurrentSince Nov 30, 2022 Accepting new patients
Our Lady of Lourdes Memorial Hospital, Inc. CurrentSince Nov 5, 2019 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Sep 10, 2018 Accepting new patients

Locations (25 of 26)

9764 Holly Springs Rd
Apex, NC 27539
Phone (919) 557-6667

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

4444 The Plaza
Unit 18
Charlotte, NC 28215

1821 Hillandale Rd
Ste 24A
Durham, NC 27705
Phone (919) 383-4355

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

130 N Judd Pkwy NE
Fuquay Varina, NC 27526
Phone (919) 346-0499

267 S Churton St
Ste 200
Hillsborough, NC 27278
Phone (919) 471-9622

401 Irving Pkwy
Ste 130
Holly Springs, NC 27540
Phone (919) 385-5060

162 Legacy Oaks Dr
Ste 101
Knightdale, NC 27545
Phone (919) 232-5205

10950 Chapel Hill Rd
Ste A
Morrisville, NC 27560
Phone (919) 327-1630

10211 Alm St
Raleigh, NC 27617
Phone (919) 206-4868

10211 Alm St
Ste 1200
Raleigh, NC 27617
Phone (919) 206-4889

7021 Harps Mill Rd
Ste 100
Raleigh, NC 27615
Phone (919) 576-8480

3000 Rogers Rd
Wake Forest, NC 27587
Phone (919) 385-1080

276-280 Robinson St
Binghamton, NY 13904
Phone (607) 722-2769

169 Riverside Dr
Ste 206
Binghamton, NY 13905
Phone (607) 798-6701

169 Riverside Dr
Binghamton, NY 13905
Phone (607) 798-5111

495 Flatbush Ave
Ste C5
Brooklyn, NY 11225
Phone (215) 588-1676

130 Center Way
Corning, NY 14830
Phone (607) 936-9971

31 Arnot Rd
#A
Horseheads, NY 14845
Phone (607) 739-3874

3345 Chambers Rd
Horseheads, NY 14845
Phone (585) 922-4315

125 Victory Hwy
Painted Post, NY 14870

125 Victory Hwy
Painted Post, NY 14870
Phone (607) 240-2535

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1242086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680566400000",
    "number": "1043444573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 FLATBUSH AVE STE C5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112253706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "276-280 ROBINSON ST",
            "city": "BINGHAMTON",
            "state": "NY",
            "postal_code": "139041659",
            "telephone_number": "607-722-2769",
            "fax_number": "607-772-2095"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 Rock Quarry Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276103825",
            "country_code": "US",
            "telephone_number": "919-833-3111",
            "fax_number": "919-834-3118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOOVER",
        "first_name": "DERRICK",
        "middle_name": "JOHN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-12",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "217329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD LICENSE",
            "identifier": "2016-00777",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Binghamton, NY

Sources for this page

Verify at the official NPI Registry.