Organization Active NPI

Derbala Institute for Reproductive Immunology, PLLC

  • Obstetrics Physician
  • Harper Woods, MI
National Provider Identifier
1114687225
Registry record updated Sep 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics PhysicianTaxonomy code 207VX0000X
Legal business name
DERBALA INSTITUTE FOR REPRODUCTIVE IMMUNOLOGY, PLLC
Practice address
20480 Vernier Rd
Harper Woods, MI 48225-1411
Phone
(248) 938-0141
NPI assigned
Dec 30, 2021
Last updated
Sep 21, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2026

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

Authorized official

Name
Youssef Derbala, MDNPI 1619239456
Title
MD
Phone
(616) 676-6196

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X NU
Obstetrics Physician 207VX0000X NU Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X NU
Clinical Pathology/Laboratory Medicine Physician 207ZP0105X NU
Clinical Medical Laboratory 291U00000X NU

Addresses

Primary practice location

20480 Vernier Rd
Harper Woods, MI 48225-1411

Mailing address

20480 Vernier Rd
Harper Woods, MI 48225-1411
Phone (248) 938-0141

Other practice location 1

1643 Lancaster Dr
Grapevine, TX 76051-3593
Phone (248) 938-0141

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D2299741Derbala Institute for Reproductive Immunology20480 Vernier Road, Harper Woods, MI 48225ComplianceJul 8, 2027

National Provider Directory

National Provider Directory

Locations

20480 Vernier Rd
Harper Woods, MI 48225
Phone (248) 938-0141

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1640822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789948800000",
    "number": "1114687225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20480 VERNIER RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251411",
            "telephone_number": "248-938-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20480 VERNIER RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251411",
            "telephone_number": "248-938-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1643 Lancaster Dr",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760513593",
            "country_code": "US",
            "telephone_number": "248-938-0141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "DERBALA INSTITUTE FOR REPRODUCTIVE IMMUNOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-30",
        "last_updated": "2026-09-21",
        "certification_date": "2026-09-21",
        "status": "A",
        "authorized_official_last_name": "DERBALA",
        "authorized_official_first_name": "YOUSSEF",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "616-676-6196",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207ZP0105X",
            "taxonomy_group": "",
            "desc": "Pathology, Clinical Pathology/Laboratory Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harper Woods, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.