Julie K Derosa, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD051117L Issued in PA

Practice address

2311 Cottman Ave Ste 71
Philadelphia, PA 19149-1007

Phone

(215) 444-7505

Fax

(215) 695-2919

NPI assigned

May 5, 2006

Last updated

Feb 5, 2025By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in PA, TX2 enrollments

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 2

Specialty

Family Practice

Education

West Virginia University School of Medicine, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mescalero Indian HospitalGroup PAC ID 9436056181, 13 clinicians

Osh - PA Physicians Group, PCGroup PAC ID 7517213879, 113 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: julie.derosa@irmc.cernerdirect.com

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.

• Osh - PA Physicians Group, PC

  • Primary Care Clinic/Center
  • Philadelphia, PA
  • NPI 1811405533

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Mescalero Indian Hospital

  • Rural Acute Care Hospital
  • Mescalero, NM
  • NPI 1891886065

  TX

  Medicare reassignment Care Compare group NPD
• Centerville Clinics, Inc.

  • Family Medicine Physician
  • Fredericktown, PA
  • NPI 1801877048
  Medicare reassignment NPD
• Centerville Clinics, Inc

  • Specialist
  • Fredericktown, PA
  • NPI 1720339393
  NPD
• Centerville Clinics, Inc.

  • Radiologic Technologist
  • Fredericktown, PA
  • NPI 1568566867
  NPD
• Centerville Clinics, Inc.

  • Clinical Medical Laboratory
  • Fredericktown, PA
  • NPI 1811978166
  NPD
• Centerville Clinics, Inc.

  • Cardiovascular Disease Physician
  • Fredericktown, PA
  • NPI 1902887250
  NPD
• Centerville Clinics, Inc.

  • Podiatrist
  • Fredericktown, PA
  • NPI 1922089275
  NPD
• Avella Family Practice,LLC

  • Family Medicine Physician
  • Avella, PA
  • NPI 1659455988
  NPD (past)
• Centerville Clinics, Inc.

  • Federally Qualified Health Center (FQHC)
  • Avella, PA
  • NPI 1336076819
  NPD (past)
• Health Futures Inc

  • Urgent Care Clinic/Center
  • McMurray, PA
  • NPI 1750586673
  NPD (past)
• Washington Physician Services

  dba Washington Health System Physicians Group

  • Family Medicine Physician
  • Washington, PA
  • NPI 1316917669
  NPD (past)

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1285682856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746722",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746722",
            "telephone_number": "773-352-1515",
            "fax_number": "312-929-0373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2311 COTTMAN AVE STE 71",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191491007",
            "telephone_number": "215-444-7505",
            "fax_number": "215-695-2919"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37 Highland Ave",
            "address_2": "Centerville Clinics",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "PA",
            "postal_code": "153014062",
            "country_code": "US",
            "telephone_number": "724-632-6801",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Wilson Rd",
            "address_purpose": "LOCATION",
            "city": "Bentleyville",
            "state": "PA",
            "postal_code": "153141028",
            "country_code": "US",
            "telephone_number": "724-239-2390",
            "fax_number": "724-239-2393",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 Neal Ave",
            "address_purpose": "LOCATION",
            "city": "Marion Center",
            "state": "PA",
            "postal_code": "157590267",
            "country_code": "US",
            "telephone_number": "724-397-5571",
            "fax_number": "724-397-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "JULIE",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-05",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD051117L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015888700004",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Julie.derosa@irmc.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "Cerner Millennium Direct Messaging Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Secure Direct Messaging",
            "address_1": "100 Neal Ave",
            "city": "Marion Center",
            "state": "PA",
            "country_code": "US",
            "postal_code": "157590267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dermscene LLC (Crown Drugs)
• Dermscene LLC (Crown Drugs)
• Jose Dernier Jr.
• Brittany Marie Derocini, CRNA
• Branlyn Werba Derosa, PH.D.
• Justin Derosa, D.O.
• Rosemary Derosa, PA-C
• Sage E Derosa
• Barry Derose, MS
• Troy Joseph Derose, CRNP, RNFA

• Family Medicine Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.