Individual provider Active NPI

Derek Schaller, M.D.

  • Emergency Medicine Physician
  • Saginaw, MI
National Provider Identifier
1053623751
Registry record updated Dec 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4301097229 Issued in MI
Practice address
900 Cooper Ave
Saginaw, MI 48602-5182
Phone
(989) 583-6521
NPI assigned
Jul 9, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 4301097229 MI Primary

Addresses

Primary practice location

900 Cooper Ave
Saginaw, MI 48602-5182

Mailing address

12540 Canada Rd
Birch Run, MI 48415-9726
Phone (810) 614-6514

Other practice location 1

3559 Pine St
Deckerville, MI 48427-7703
Phone (810) 376-2835

Other practice location 2

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (989) 907-8781

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130827000667 MI Practitioner - Emergency Medicine 5890938633 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Scheurer Hospital 49 clinicians

Practice addresses (Care Compare)

170 N Caseville Rd
Scheurer Hospital Ed Physicians
Pigeon, MI 48755-9704
Phone (989) 453-3223

Hospital & facility affiliations

  • Scheurer Hospital Hospital, Pigeon, MI, CCN 231310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301097229MIMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Sep 19, 2023 Accepting new patients
Deckerville Community Hospital, Inc. CurrentSince Jan 1, 2025 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Sep 19, 2023 Accepting new patients
Covenant Medical Center, Inc. Emergency Medicine CurrentSince Jul 1, 2016 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Deckerville Community Hospital, Inc CurrentSince Jan 1, 2025 Accepting new patients
Degara App, PLLC Emergency Medicine CurrentSince Apr 8, 2017 Accepting new patients
Scheurer Hospital CurrentSince Dec 24, 2023 Accepting new patients
Scheurer Hospital Emergency Medicine CurrentSince Dec 24, 2023 Accepting new patients
Covenant Medical Center, Inc CurrentSince Jul 1, 2016 Accepting new patients
Hills & Dales General Hospital, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Scheurer Hospital Current Accepting new patients
Marlette Regional Hospital CurrentSince Jan 1, 2025 Accepting new patients

Locations

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000

4675 Hill St
Ste B
Cass City, MI 48726
Phone (989) 912-6112

4675 Hill St
Cass City, MI 48726
Phone (989) 872-2121

3559 Pine St
Deckerville, MI 48427
Phone (810) 376-2835

401 W Greenlawn Ave
Lansing, MI 48910
Phone (517) 334-2286

2770 Main St
Marlette, MI 48453
Phone (989) 635-4000

170 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-3223

108 N Caseville Rd
Pigeon, MI 48755
Phone (989) 453-7301

50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300

900 Cooper Ave
Saginaw, MI 48602
Phone (989) 583-6122

800 S Washington Ave
Ph
Saginaw, MI 48601
Phone (989) 793-7220

4599 Towne Centre Rd
Rm Phys
Saginaw, MI 48604
Phone (989) 497-3214

4599 Towne Centre Rd
Saginaw, MI 48604
Phone (989) 497-3000

1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220

800 S Washington Ave
Rm Physician
Saginaw, MI 48601
Phone (989) 793-7220

800 S Washington Ave
Saginaw, MI 48601
Phone (989) 776-8000

Interoperability endpoints

  • Direct secure messaging: dschallermd45267@direct.covenanthealthcare.com

Organizations & group practices 22

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 22

Hospital & facility affiliations 11

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": "1278633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669852800000",
    "number": "1053623751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12540 CANADA RD",
            "city": "BIRCH RUN",
            "state": "MI",
            "postal_code": "484159726",
            "telephone_number": "810-614-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 COOPER AVE",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486025182",
            "telephone_number": "989-583-6521"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3559 Pine St",
            "address_purpose": "LOCATION",
            "city": "Deckerville",
            "state": "MI",
            "postal_code": "484277703",
            "country_code": "US",
            "telephone_number": "810-376-2835",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486012551",
            "country_code": "US",
            "telephone_number": "989-907-8781",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHALLER",
        "first_name": "DEREK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-09",
        "last_updated": "2022-12-01",
        "certification_date": "2022-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "4301097229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.