Active NPI
Derek L Passer, M.D.
- Anesthesiology Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A182607
- Practice address
- 3626 Ruffin Rd
San Diego, CA 92123-1810 - Phone
- (858) 565-9666
- Fax
- (858) 565-9441
- NPI assigned
- Apr 3, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD61505577 | WA | |
| Anesthesiology Physician | 207L00000X | 101829 | WI | |
| Anesthesiology Physician | 207L00000X | A182607 | CA | Primary |
| Anesthesiology Physician | 207L00000X | DR.0065803 | CO |
Addresses
Primary practice location
3626 Ruffin Rd
San Diego, CA 92123-1810
Mailing address
3626 Ruffin Rd
San Diego, CA 92123-1810
Phone (858) 565-9666
Other practice location 1
1717 S J St
Tacoma, WA 98405-4933
Phone (253) 985-6403
Other practice location 2
2116 Craig Rd
Eau Claire, WI 54701-6118
Phone (715) 858-4610
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2280216 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dpasser853305@fhsce.catholichealth.net | Direct | Franciscan Medical Group |
| Direct Messaging Address | him@marshfieldclinichealthsystem.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MT, OR, WI, NE, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Nebraska College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aspirus Rhinelander and Tomahawk Hospitals and Clinics, Inc.
Practice addresses (Care Compare)
2251 N Shore Dr
Rhinelander, WI 54501-6710
Phone (715) 361-2000
410 Dewey St
Wisconsin Rapids, WI 54494-4715
Phone (715) 423-6060
420 Dewey St
Wisconsin Rapids, WI 54494-4714
Phone (715) 422-7750
515 Main St
Olean, NY 14760-1513
Phone (716) 323-6570
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A182607 | CA | MD | Anesthesiology Physician |
| DR.0065803 | CO | MD | Anesthesiology Physician |
| MD61505577 | WA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| Bryan Hospital Kearney | Anesthesiology | Current | Accepting new patients |
| Lakeview Medical Center Inc of Rice Lake | Current | Accepting new patients | |
| Great Lakes Anesthesiology, PC | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| MCHS Hospitals Inc | Anesthesiology | Current | Accepting new patients |
| Billings Clinic | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Washington - TCS | Anesthesiology | Current | Accepting new patients |
| Beaver Dam Community Hospitals Inc | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| U S Anesthesia Partners of Montana P C | Anesthesiology | Current | Accepting new patients |
| Bryan Hospital Kearney | Current | Accepting new patients | |
| Flambeau Hospital Inc | Current | Accepting new patients | |
| Aspirus Riverview Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Memorial Hospital Inc | Current | Accepting new patients | |
| Marshfield Clinic Inc | Current | Accepting new patients | |
| Billings Clinic | Current | Accepting new patients | |
| MCHS Hospitals Inc | Current | Accepting new patients |
Locations
29980 Network Pl
Chicago, IL 60673
2800 10th Ave N
Billings, MT 59101
Phone (406) 248-3290
816 22nd Ave
Ste 100
Kearney, NE 68845
Phone (308) 865-2263
804 22nd Ave
Kearney, NE 68845
Phone (308) 455-3600
3095 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 896-2245
515 Main St
Olean, NY 14760
Phone (716) 373-2600
9205 SW Barnes Rd
Portland, OR 97225
Phone (503) 216-1234
120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040
12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844
705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090
2116 Craig Rd
Eau Claire, WI 54701
Phone (715) 858-4500
3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200
1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111
1000 N Oak Ave
Fl 2
Marshfield, WI 54449
1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399
N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101
2251 N Shore Dr
Rhinelander, WI 54501
Phone (715) 361-2300
1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133
420 Dewey St
Wisconsin Rapids, WI 54494
Phone (715) 421-7474
Interoperability endpoints
- dpasser853305@fhsce.catholichealth.net
- him@marshfieldclinichealthsystem.cernerdirect.com
Organizations & group practices 21
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.
-
- General Acute Care Hospital
- Wisconsin Rapids, WI
- NPI 1295754844
-
- Specialist
- Buffalo, NY
- NPI 1306852181
-
- Clinic/Center
- Beaver Dam, WI
- NPI 1972188555
-
- Emergency Care Clinic/Center
- Billings, MT
- NPI 1326104845
-
- Clinic/Center
- Park Falls, WI
- NPI 1194317966
-
- Critical Access Hospital
- Park Falls, WI
- NPI 1700963048
-
- Anesthesiology Physician
- Portland, OR
- NPI 1649816380
-
- Clinic/Center
- Rice Lake, WI
- NPI 1093201832
-
- Clinic/Center
- Marshfield, WI
- NPI 1952347981
-
- Critical Access Hospital
- Ladysmith, WI
- NPI 1952890873
Hospital & facility affiliations 20
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Health Clinic/Center
- Rhinelander, WI
- NPI 1598420218
Hospital
-
- Clinic/Center
- Plover, WI
- NPI 1053080168
Hospital
-
- Clinic/Center
- Wittenberg, WI
- NPI 1114696507
Hospital
-
- Clinic/Center
- Stevens Point, WI
- NPI 1144991340
Hospital
-
- Clinic/Center
- Stevens Point, WI
- NPI 1306515671
Hospital
-
- Clinic/Center
- Amherst, WI
- NPI 1316616428
Hospital
-
- Clinic/Center
- Rhinelander, WI
- NPI 1316616683
Hospital
-
- Family Medicine Physician
- Stevens Point, WI
- NPI 1336818608
Hospital
-
- General Acute Care Hospital
- Rhinelander, WI
- NPI 1356391247
-
- General Practice Physician
- Rhinelander, WI
- NPI 1548628100
Hospital
-
- Rural Health Clinic/Center
- Tomahawk, WI
- NPI 1558912469
Hospital
-
- Clinic/Center
- Iola, WI
- NPI 1578232849
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1491177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728950400000",
"number": "1174055693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 RUFFIN RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231810",
"telephone_number": "858-565-9666",
"fax_number": "858-565-9441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3626 RUFFIN RD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921231810",
"telephone_number": "858-565-9666",
"fax_number": "858-565-9441"
}
],
"practiceLocations": [
{
"address_1": "1717 S J St",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984054933",
"country_code": "US",
"telephone_number": "253-985-6403",
"fax_number": "253-985-6879",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2116 Craig Rd",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547016118",
"country_code": "US",
"telephone_number": "715-858-4610",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PASSER",
"first_name": "DEREK",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-04-03",
"last_updated": "2024-10-15",
"certification_date": "2024-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WA",
"license": "MD61505577",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "WI",
"license": "101829",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A182607",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CO",
"license": "DR.0065803",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2280216",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dpasser853305@fhsce.catholichealth.net",
"affiliation": "Y",
"affiliationName": "Franciscan Medical Group",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1717 S J St # MS 20-15",
"city": "Tacoma",
"state": "WA",
"country_code": "US",
"postal_code": "984054933",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
"affiliation": "N",
"address_1": "2116 Craig Rd",
"city": "Eau Claire",
"state": "WI",
"country_code": "US",
"postal_code": "547016118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.