Individual provider Active NPI

Ryan Edward Derby, MD

  • Anesthesiology Physician
  • Stanford, CA
National Provider Identifier
1306055231
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A121797 Issued in CA
Practice address
300 Pasteur Dr
Stanford, CA 94305-2200
Phone
(650) 723-4000
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X 121797 CA
Anesthesiology Physician 207L00000X A121797 CA Primary
Anesthesiology Physician 207L00000X 121797 CA
Anesthesiology Physician 207L00000X MD60213673 WA
Pain Medicine Physician 208VP0000X A121797 CA

Addresses

Primary practice location

300 Pasteur Dr
Stanford, CA 94305-2200

Mailing address

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20120913000401 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 6800928532 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
University of Utah School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stanford Health CareGroup PAC ID 6709797491, 3,152 clinicians

Practice addresses (Care Compare)

300 Pasteur Dr
Stanford, CA 94305-2200
Phone (650) 723-4000

5800 Hollis St
Emeryville, CA 94608-2016
Phone (510) 806-2100

Merit-based Incentive Payment System (MIPS)

Final score
88.53 of 100Reported as group
Quality
87.08
Promoting interoperability
100
Improvement activities
40
Cost
69.51

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
121797CAMDClinical Social Worker
A121797CAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Foot Care Inc CurrentSince Aug 1, 2022 Accepting new patients
Stanford Health Care Anesthesiology CurrentSince Jul 23, 2012 Accepting new patients
Stanford Health Care CurrentSince Jul 23, 2012 Accepting new patients
Bay Area Foot Care, Inc CurrentSince Aug 1, 2022 Accepting new patients
LPCH Medical Group Div of Lucile CurrentSince Jul 23, 2012 Accepting new patients
Total Spine Institute Inc CurrentSince Oct 1, 2025 Accepting new patients

Locations

23632 Calabasas Rd
Ste 100
Calabasas, CA 91302
Phone (818) 476-4880

1600 Creekside Dr
Ste 3100
Folsom, CA 95630
Phone (916) 269-8865

1241 E Hillsdale Blvd
Ste 200
Foster City, CA 94404
Phone (650) 514-4940

2707 W Olympic Blvd
Ste 204
Los Angeles, CA 90006
Phone (818) 616-4429

400 Carlton Ave
Ste 200
Los Gatos, CA 95032
Phone (408) 358-6234

2844 Summit St
Ste 107
Oakland, CA 94609
Phone (510) 463-3888

725 Welch Rd
Palo Alto, CA 94304
Phone (650) 497-8979

2893 Sunrise Blvd
Ste 103
Rancho Cordova, CA 95742
Phone (818) 616-4426

1100 Laurel St
Ste E
San Carlos, CA 94070
Phone (650) 595-4148

1 Shrader St
Ste 580
San Francisco, CA 94117
Phone (415) 292-0638

1580 Valencia St
Ste 109
San Francisco, CA 94110
Phone (415) 285-7711

2114 McKee Rd
San Jose, CA 95116
Phone (408) 272-2211

750 Las Gallinas Ave
Ste 115
San Rafael, CA 94903
Phone (415) 472-5575

3536 Mendocino Ave
Ste 300B
Santa Rosa, CA 95403
Phone (707) 237-3410

4849 Van Nuys Blvd
Ste 203
Sherman Oaks, CA 91403
Phone (818) 616-4429

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

127 Hospital Dr
Ste 102
Vallejo, CA 94589
Phone (707) 643-9010

47 Penny Ln
Ste 1
Watsonville, CA 95076
Phone (831) 728-8844

Interoperability endpoints

  • Direct secure messaging: ryan.derby.2@20181.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1306055231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PASTEUR DR",
            "city": "STANFORD",
            "state": "CA",
            "postal_code": "943052200",
            "telephone_number": "650-723-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERBY",
        "first_name": "RYAN",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "121797",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A121797",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "121797",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WA",
            "license": "MD60213673",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A121797",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stanford, CA

Sources for this page

Verify at the official NPI Registry.