Individual provider Active NPI

Derek Michael Deshaies, MD

  • Surgery Physician
  • Frederick, MD
National Provider Identifier
1174084115
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
D0103566 Issued in MD
Practice address
1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone
(402) 156-3102
Fax
(240) 566-7754
NPI assigned
Mar 30, 2019
Last updated
Jul 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD485065 PA
Surgery Physician 208600000X D0103566 MD Primary

Addresses

Primary practice location

1562 Opossumtown Pike
Frederick, MD 21702-4920

Mailing address

1 Frederick Health Way
Frederick, MD 21701-9435

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, MD2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20240905004469 PA Practitioner - General Surgery 8426383134 Reassigns benefits to 1 organization
I20250722000280 MD Practitioner - General Surgery 8426383134 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
West Virginia University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (240) 215-6310

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Medical Group LLC CurrentSince Aug 1, 2025 Accepting new patients
Frederick Health Medical Group LLC CurrentSince Aug 1, 2025 Accepting new patients
Washington Physician Services CurrentSince Jul 1, 2024 Accepting new patients
Frederick Health Medical Group LLC Surgery Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Angott Surgical Associates Surgery PastSince May 1, 2024 Accepting new patients

Locations

1 Frederick Health Way
Frederick, MD 21701
Phone (240) 439-8812

1562 Opossumtown Pike
Frederick, MD 21702
Phone (240) 566-4500

1562 Opossumtown Pike
Ste 302
Frederick, MD 21702

194 Thomas Johnson Dr
Frederick, MD 21702
Phone (240) 215-6370

400 W 7th St
Frederick, MD 21701
Phone (240) 566-3300

190 N Main St
Ste 204
Washington, PA 15301
Phone (724) 223-9335

88 Wellness Way
Washington, PA 15301
Phone (724) 222-9500

88 Wellness Way
Bldg 3
Washington, PA 15301
Phone (724) 222-9500

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1553904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1174084115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 FREDERICK HEALTH WAY",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217019435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1562 OPOSSUMTOWN PIKE",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217024920",
            "telephone_number": "402-156-3102",
            "fax_number": "240-566-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESHAIES",
        "first_name": "DEREK",
        "middle_name": "MICHAEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-30",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD485065",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MD",
            "license": "D0103566",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.