Active NPI
David Robert Derkits, MD
- Emergency Medicine Physician
- Greenville, NC
National Provider Identifier
1194252684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 2021-01373
- Practice address
- 506 Treybrooke Cir Apt 34
Greenville, NC 27834-7885 - Phone
- (804) 591-6896
- NPI assigned
- May 16, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 2021-01373 | NC | Primary |
Addresses
Primary practice location
506 Treybrooke Cir Apt 34
Greenville, NC 27834-7885
Mailing address
3064 Wake Forest Rd # 1544
Raleigh, NC 27609-7844
Phone (804) 591-6896
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20170718000167 | NC | Order and Referring Only - Emergency Medicine | 4385914753 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021-01373 | NC | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494892800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700438400000",
"number": "1194252684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3064 WAKE FOREST RD # 1544",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097844",
"telephone_number": "804-591-6896"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 TREYBROOKE CIR APT 34",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278347885",
"telephone_number": "804-591-6896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERKITS",
"first_name": "DAVID",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-16",
"last_updated": "2023-11-20",
"certification_date": "2023-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NC",
"license": "2021-01373",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
- Noreen M. Denny, PH.D.
- Karen Castelloe Denton, RCP,CRT,RRT
- Andrew Hiran Dep, MD
- Aurora Eileen Depalma, MD
- Dependable Services, Inc. (Dependable Case Management)
- Tejas Pradeep Desai, MD
- Designing the Future Home Care, Inc.
- Hannah Howard Desoto, LCSW, BCD
- Robert Lynn Desoto, LCSW, BCD
- Travis L Dessoffy, CPO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.