Individual provider Active NPI

Derek H Dephouse, M.D.

  • Pediatrics Physician
  • Asheville, NC
National Provider Identifier
1063498137
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200100133 Issued in NC
Practice address
64 Peachtree Rd Ste 100
Asheville, NC 28803-3121
Phone
(828) 277-3000
Fax
(828) 277-3636
NPI assigned
Dec 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2001-00133 NC
Pediatrics Physician 208000000X 200100133 NC Primary

Addresses

Primary practice location

64 Peachtree Rd Ste 100
Asheville, NC 28803-3121

Mailing address

64 Peachtree Rd Ste 100
Asheville, NC 28803-3121
Phone (828) 277-3000

Other identifiers 2

IdentifierTypeStateIssuer
89128JAMedicaidNC
2001-00133OtherNCSTATE LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20150123001985 NC Practitioner - Pediatric Medicine 0749504603 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001-00133NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Pediatrics of Asheville PA Pediatrics CurrentSince Oct 27, 2014 Accepting new patients

Locations

64 Peachtree Rd
Ste 100
Asheville, NC 28803
Phone (828) 277-3000

Interoperability endpoints

  • Direct secure messaging: derek.dephouse.1@19232.direct.athenahealth.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1063498137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 PEACHTREE RD STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033121",
            "telephone_number": "828-277-3000",
            "fax_number": "828-277-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 PEACHTREE RD STE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288033121",
            "telephone_number": "828-277-3000",
            "fax_number": "828-277-3636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPHOUSE",
        "first_name": "DEREK",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2001-00133",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200100133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89128JA",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE NUMBER",
            "identifier": "2001-00133",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.