Active NPI
Ryan Edward Derby, MD
- Anesthesiology Physician
- Stanford, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A121797
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- University of Utah School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 121797 | CA | MD | Clinical Social Worker |
| A121797 | CA | MD | Pain Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bay Area Foot Care Inc | Current | Accepting new patients | |
| Stanford Health Care | Anesthesiology | Current | Accepting new patients |
| Stanford Health Care | Current | Accepting new patients | |
| Bay Area Foot Care, Inc | Current | Accepting new patients | |
| LPCH Medical Group Div of Lucile | Current | Accepting new patients | |
| Total Spine Institute Inc | Current | 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
- 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.
-
- Foot & Ankle Surgery Podiatrist
- San Francisco, CA
- NPI 1508911892
-
- Children's Hospital
- Palo Alto, CA
- NPI 1417907940
-
- Neurological Surgery Physician
- Sherman Oaks, CA
- NPI 1932856382
-
- Foot & Ankle Surgery Podiatrist
- San Jose, CA
- NPI 1649136490
-
- Specialty Pharmacy
- Mountain View, CA
- NPI 1760366132
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2024; 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.