Individual provider Active NPI

Robert Paul Derhagopian, M.D.

  • Surgical Oncology Physician
  • Boca Raton, FL
National Provider Identifier
1225095227
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Oncology PhysicianTaxonomy code 2086X0206X
License
ME0025368 Issued in FL
Practice address
690 Meadows Rd FL 2
Boca Raton, FL 33486-2344
Phone
(561) 955-2131
Fax
(833) 625-1584
NPI assigned
Apr 26, 2006
Last updated
May 16, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X ME0025368 FL Primary

Addresses

Primary practice location

690 Meadows Rd FL 2
Boca Raton, FL 33486-2344

Mailing address

1001 NW 13TH St Ste 201
Boca Raton, FL 33486-2269
Phone (561) 955-6665

Other identifiers 4

IdentifierTypeStateIssuer
003720OtherFLAVMED HEALTH PLAN
44135OtherFLBLUE CROSS/BLUE SHIELD
00471OtherFLNEIGHBORHOOD HEALTH PLAN
4238125OtherFLAETNA HEALTH PLAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20090319000546 FL Practitioner - Surgical OncologyPractitioner - Internal Medicine 0547327421 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Surgical Oncology
Education
Tufts University School of Medicine, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bocacare IncGroup PAC ID 3870633753, 196 clinicians

Practice addresses (Care Compare)

690 Meadows Rd
Boca Raton, FL 33486-2344
Phone (561) 955-5000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0025368FLMDSurgical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bocacare Inc CurrentSince Feb 1, 2024 Accepting new patients
Bocacare Inc CurrentSince Feb 1, 2024 Accepting new patients
Baptist Health Medical Group Physicians LLC CurrentSince Jul 1, 2008 Accepting new patients

Locations

1001 NW 13th St
Ste 201
Boca Raton, FL 33486
Phone (561) 864-7853

690 Meadows Rd
Boca Raton, FL 33486
Phone (561) 955-2131

690 Meadows Rd
#2
Boca Raton, FL 33486

690 Meadows Rd
Fl 2
Boca Raton, FL 33486
Phone (561) 955-2131

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

6200 Sunset Dr
Ste 130
South Miami, FL 33143
Phone (305) 271-6159

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

Interoperability endpoints

  • Direct secure messaging: robert.derhagopian.1@26289.direct.athenahealth.com

Organizations & group practices 3

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1225095227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 NW 13TH ST STE 201",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862269",
            "telephone_number": "561-955-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 MEADOWS RD FL 2",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862344",
            "telephone_number": "561-955-2131",
            "fax_number": "833-625-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERHAGOPIAN",
        "first_name": "ROBERT",
        "middle_name": "PAUL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME0025368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED HEALTH PLAN",
            "identifier": "003720",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "44135",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD HEALTH PLAN",
            "identifier": "00471",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLAN",
            "identifier": "4238125",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.