Individual provider Active NPI

Derek Sinju, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedar Hill, TX
National Provider Identifier
1205566494
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
1077322 Issued in TX
Practice address
1527 Trail Ridge Dr
Cedar Hill, TX 75104-3903
Phone
(617) 270-6861
NPI assigned
Jun 13, 2022
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 1077322 TX Primary

Addresses

Primary practice location

1527 Trail Ridge Dr
Cedar Hill, TX 75104-3903

Mailing address

1527 Trail Ridge Dr
Cedar Hill, TX 75104-3903
Phone (617) 270-6861

Other practice location 1

2635 Stonelake Dr Apt 334
Grand Prairie, TX 75050-8799
Phone (617) 270-6861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251124004270 TX Practitioner - Nurse Practitioner 3971095282 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1020 S Carrier Pkwy
Grand Prairie, TX 75051-1527
Phone (214) 330-2488

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1077322TXMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Mental Health & Mental Retardation Center CurrentSince Sep 8, 2025 Accepting new patients

Locations

1345 River Bend Dr
Ste 200
Dallas, TX 75247
Phone (469) 899-3200

1380 River Bend Dr
Dallas, TX 75247
Phone (214) 743-1272

1020 S Carrier Pkwy
Grand Prairie, TX 75051
Phone (214) 330-2424

Organizations & group practices 1

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": "1655078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1205566494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 TRAIL RIDGE DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043903",
            "telephone_number": "617-270-6861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 TRAIL RIDGE DR",
            "city": "CEDAR HILL",
            "state": "TX",
            "postal_code": "751043903",
            "telephone_number": "617-270-6861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2635 Stonelake Dr Apt 334",
            "address_purpose": "LOCATION",
            "city": "Grand Prairie",
            "state": "TX",
            "postal_code": "750508799",
            "country_code": "US",
            "telephone_number": "617-270-6861",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SINJU",
        "first_name": "DEREK",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-06-13",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TX",
            "license": "1077322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Hill, TX

Sources for this page

Verify at the official NPI Registry.