Active NPI
Derik Tyler Gotay, DNAP
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 317291
- Practice address
- 2601 E Roosevelt St
Phoenix, AZ 85008-4973 - Phone
- (602) 344-5039
- NPI assigned
- Apr 19, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | APRN11026133 | FL | |
| Certified Registered Nurse Anesthetist | 367500000X | D185139 | IA | |
| Certified Registered Nurse Anesthetist | 367500000X | 317291 | AZ | Primary |
| Certified Registered Nurse Anesthetist | 367500000X | 4052929 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 11026133 | FL |
Addresses
Primary practice location
2601 E Roosevelt St
Phoenix, AZ 85008-4973
Mailing address
2929 E Thomas Rd
Phoenix, AZ 85016-8034
Phone (602) 470-5000
Other practice location 1
231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-6000
Other practice location 2
1600 SW Archer Rd
Gainesville, FL 32610-4009
Phone (352) 273-8610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 120382200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE, FL, AZ, IN, IA, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230803003929 | NE | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2062873243 | Reassigns benefits to 1 organization |
| I20231030001705 | FL | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2062873243 | Reassigns benefits to 4 organizations |
| I20250513003406 | AZ | Practitioner - Anesthesiology | 2062873243 | Reassigns benefits to 1 organization |
| I20250709000106 | IN | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2062873243 | Reassigns benefits to 1 organization |
| I20250715000166 | IA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2062873243 | Reassigns benefits to 2 organizations |
| I20260429001890 | KY | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 2062873243 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- US Anesthesia Partners of Florida IncSda Consultants PLLCMedical Associates Clinic P CCapital Anesthesia Solutions of Florida II, LLC
Practice addresses (Care Compare)
1905 Clint Moore Rd
Suite 300
Boca Raton, FL 33496-2661
Phone (561) 544-5501
200 Missouri Ave
BLDG 18
Jeffersonville, IN 47130-3014
Phone (812) 920-0055
250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 584-8000
6101 Pine Ridge Rd
Naples, FL 34119-3900
Phone (239) 348-4000
Hospital & facility affiliations
- Physicians Regional Medical Center - Pine Ridge
- Mercyone Dubuque Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11026133 | FL | MD | Certified Registered Nurse Anesthetist |
| 4052929 | KY | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mary Lanning Memorial Hospital Association | Current | Accepting new patients | |
| Villages Regional Hospital Physician Services LLC | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| Capital Anesthesia Solutions of Florida II, LLC | Current | Accepting new patients | |
| Sda Consultants PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| The Mary Lanning Memorial Hospital Association | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Cep America - Anesthesia PC | Current | Accepting new patients | |
| District Medical Group, Inc | Current | Accepting new patients | |
| Mitchell County Hospital Health Systems | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| District Medical Group, Inc | Current | Accepting new patients | |
| Florida Clinical Practice Association Inc | Current | Accepting new patients | |
| US Anesthesia Partners of Florida Inc. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Medical Associates Clinic P C | Current | Accepting new patients | |
| District Medical Group, Inc | Past | Accepting new patients |
Locations (25 of 26)
8088 W Whitney Dr
Peoria, AZ 85345
Phone (602) 655-2000
2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298
3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520
2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
1905 Clint Moore Rd
Ste 300
Boca Raton, FL 33496
Phone (561) 544-5501
2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
851 Trafalgar Ct
Ste 200E
Maitland, FL 32751
Phone (321) 422-7155
8300 Collier Blvd
Naples, FL 34114
Phone (239) 354-6000
6101 Pine Ridge Rd
Naples, FL 34119
Phone (239) 348-4000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
540 The Rialto
Venice, FL 34285
Phone (866) 481-2553
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100
1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455
250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000
1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240
500 Arcade Ave
Ste 100
Elkhart, IN 46514
Phone (574) 389-5683
200 Missouri Ave
Bldg 18
Jeffersonvlle, IN 47130
Phone (502) 552-5221
400 W 8th St
Beloit, KS 67420
Phone (785) 738-2266
Organizations & group practices 19
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.
-
- Anesthesiology Physician
- Naples, FL
- NPI 1891318481
FL
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1336605500
IN, Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Maitland, FL
- NPI 1518910520
FL, Nurse Anesthetist, Certified Registered
-
- Anatomic Pathology & Clinical Pathology Physician
- Phoenix, AZ
- NPI 1336472448
AZ
-
- Family Medicine Physician
- Hastings, NE
- NPI 1356656417
NE
-
- Durable Medical Equipment & Medical Supplies
- Dubuque, IA
- NPI 1811091143
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1144624339
Hospital & facility affiliations 3
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": "1681862400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1124715149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2929 E THOMAS RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850168034",
"telephone_number": "602-470-5000",
"fax_number": "602-470-5064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2601 E ROOSEVELT ST",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850084973",
"telephone_number": "602-344-5039"
}
],
"practiceLocations": [
{
"address_1": "231 E Chestnut St",
"address_purpose": "LOCATION",
"city": "Louisville",
"state": "KY",
"postal_code": "402021821",
"country_code": "US",
"telephone_number": "502-629-6000",
"fax_number": "502-451-4553",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326104009",
"country_code": "US",
"telephone_number": "352-273-8610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOTAY",
"first_name": "DERIK",
"middle_name": "TYLER",
"credential": "DNAP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-04-19",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "APRN11026133",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IA",
"license": "D185139",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "317291",
"primary": true
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "4052929",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "11026133",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "120382200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.