Individual provider Active NPI

Martin H. Derrow, M.D.

  • Internal Medicine Physician
  • Maitland, FL
National Provider Identifier
1144219528
Registry record updated May 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME46693 Issued in FL
Practice address
800 N Maitland Ave Ste 103
Maitland, FL 32751-4499
Phone
(407) 660-7100
Fax
(407) 660-1939
NPI assigned
Oct 18, 2005
Last updated
May 20, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME46693 FL Primary

Addresses

Primary practice location

800 N Maitland Ave Ste 103
Maitland, FL 32751-4499

Mailing address

800 N Maitland Ave Ste 103
Maitland, FL 32751-4499
Phone (407) 660-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100301000277 FL Practitioner - Internal Medicine 0941345037 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Physicians Network Inc Internal Medicine CurrentSince Apr 22, 2020 Accepting new patients
Orlando Health Medical Group Inc Internal Medicine Past Accepting new patients

Locations

800 N Maitland Ave
Ste 101
Maitland, FL 32751
Phone (407) 660-7150

800 N Maitland Ave
Ste 103
Maitland, FL 32751
Phone (407) 660-7011

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1129593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589932800000",
    "number": "1144219528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N MAITLAND AVE STE 103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514499",
            "telephone_number": "407-660-7100",
            "fax_number": "407-660-1939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N MAITLAND AVE STE 103",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327514499",
            "telephone_number": "407-660-7100",
            "fax_number": "407-660-1939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERROW",
        "first_name": "MARTIN",
        "middle_name": "H.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-18",
        "last_updated": "2020-05-20",
        "certification_date": "2020-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME46693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Maitland, FL

Sources for this page

Verify at the official NPI Registry.