Alan Robert Deroy, D.P.M.

Primary specialty

PodiatristTaxonomy code 213E00000X

License

01434 Issued in MD

Practice address

7223 Hanover Pkwy Ste B
Greenbelt, MD 20770-2023

Phone

(301) 441-2655

Fax

(301) 441-2656

NPI assigned

Apr 20, 2006

Last updated

Apr 30, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Temple University School of Podiatric Medicine, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Renaissance Foot and Ankle Center, PCGroup PAC ID 1052360278, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Renaissance Foot & Ankle Center, PC

  • Podiatrist
  • Greenbelt, MD
  • NPI 1932135951

  DC

  Medicare reassignment Care Compare group
• Renaissance Foot & Ankle Center

  • Durable Medical Equipment & Medical Supplies
  • Greenbelt, MD
  • NPI 1750727350
  NPD Authorized official
• Frederick Health Hospital Inc

  dba Frederick Health Hospital

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)
• Potomac Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Crofton, MD
  • NPI 1972171411
  NPD (past)
• Potomac Podiatry PLLC

  • Foot & Ankle Surgery Podiatrist
  • Woodbridge, VA
  • NPI 1184731549
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556582400000",
    "number": "1184680043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7223 HANOVER PKWY STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702023",
            "telephone_number": "301-441-2655",
            "fax_number": "301-441-2656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7223 HANOVER PKWY STE B",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207702023",
            "telephone_number": "301-441-2655",
            "fax_number": "301-441-2656"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10215 Fernwood Rd Ste 635",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208171184",
            "country_code": "US",
            "telephone_number": "301-530-5658",
            "fax_number": "301-530-2606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEROY",
        "first_name": "ALAN",
        "middle_name": "ROBERT",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-20",
        "last_updated": "2019-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "VA",
            "license": "0103300926",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MI",
            "license": "5901002037",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MD",
            "license": "01434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "412480400",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dental Associate P.C. (family dental group)
• Dental Solutions LLC (My Greenbelt Dentist)
• Department of Veterans Affairs Medical Center
• Dermatologic Surgery Center LLC
• Dermatology & Cosmetic Surgery Associates, P.a.
• Vinay N Desai, M.D.
• Laura Desimone, PHARMD
• Julia Desousa, LGSW
• Peter Devlin, LGSW/LMSW
• Adrienne Tiera Dezurn

• Podiatrist in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Podiatrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.

Verify at the official NPI Registry.