Active NPI
Dereck M Pristas
- Paramedic
- Vandalia, OH
National Provider Identifier
1255686358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Paramedic
- License
- 0116019
- Practice address
- 3501 Hangar Dr
Vandalia, OH 45377-1056 - Phone
- (937) 949-4611
- NPI assigned
- Jul 16, 2012
- Last updated
- May 18, 2026
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Paramedic | 146L00000X | 0116019 | OH | Primary |
Addresses
Primary practice location
3501 Hangar Dr
Vandalia, OH 45377-1056
Mailing address
PO Box 189
Vandalia, OH 45377-0189
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0116019 | OH | MD | Paramedic |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pristas Holdings, LTD. | Current | Accepting new patients |
Locations
3501 Hangar Dr
Vandalia, OH 45377
Phone (937) 877-1235
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.
-
- Land Ambulance
- Vandalia, OH
- NPI 1871240242
-
- Ambulance
- Vandalia, OH
- NPI 1093636284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1342396800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779062400000",
"number": "1255686358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 189",
"city": "VANDALIA",
"state": "OH",
"postal_code": "453770189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 HANGAR DR",
"city": "VANDALIA",
"state": "OH",
"postal_code": "453771056",
"telephone_number": "937-949-4611"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRISTAS",
"first_name": "DERECK",
"middle_name": "M",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-07-16",
"last_updated": "2026-05-18",
"certification_date": "2026-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "146L00000X",
"taxonomy_group": "",
"desc": "Emergency Medical Technician, Paramedic",
"state": "OH",
"license": "0116019",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vandalia, OH
- Victoria Powell
- Premier Health Specialists Inc (Womens Health Specialists and Midwives of Dayton)
- Premier Heart Associates, Inc
- Premier Integrated Medical Associates, LTD (PriMed Physicians)
- Pristas Holdings, LTD.
- Professional Counseling Services of Ohio LLC
- Robert Prophater, MD
- Proscan Imaging of Troy, LLC
- Bethany Suzanne Purtell, MSN, APRN FNP-C
- Mahmood Rahman, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.