Individual provider Active NPI

Derik Tyler Gotay, DNAP

  • Certified Registered Nurse Anesthetist
  • Phoenix, AZ
National Provider Identifier
1124715149
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
317291 Issued in AZ
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

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
120382200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, FL, AZ, IN, IA, KY6 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 6

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 0345143152, 1,111 clinicians
Sda Consultants PLLCGroup PAC ID 3870825912, 76 clinicians
Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians
Capital Anesthesia Solutions of Florida II, LLCGroup PAC ID 7911323720, 327 clinicians

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 Hospital, Naples, FL, CCN 100286
  • Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11026133FLMDCertified Registered Nurse Anesthetist
4052929KYMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
The Mary Lanning Memorial Hospital Association CurrentSince Jul 16, 2023 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince Feb 4, 2024 Accepting new patients
Cep America - Anesthesia PC CurrentSince Jul 31, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 21, 2023 Accepting new patients
Capital Anesthesia Solutions of Florida II, LLC CurrentSince Dec 3, 2025 Accepting new patients
Sda Consultants PLLC Nurse Anesthetist, Certified Registered CurrentSince Jun 2, 2025 Accepting new patients
The Mary Lanning Memorial Hospital Association CurrentSince Jul 16, 2023 Accepting new patients
Cep America - Anesthesia PC Current Accepting new patients
District Medical Group, Inc Current Accepting new patients
Cep America - Anesthesia PC CurrentSince Jul 31, 2025 Accepting new patients
District Medical Group, Inc CurrentSince May 1, 2025 Accepting new patients
Mitchell County Hospital Health Systems Nurse Anesthetist, Certified Registered CurrentSince May 12, 2025 Accepting new patients
District Medical Group, Inc CurrentSince May 1, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Nov 21, 2023 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Oct 20, 2023 Accepting new patients
Medical Associates Clinic P C CurrentSince Oct 20, 2025 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.

View all 19

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

Verify at the official NPI Registry.