Michael Derouin, DPM,FACFAS

Primary specialty

Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X

License

PO-000950 Issued in FL

Practice address

2780 N Roosevelt Blvd Ste 2
Key West, FL 33040-3930

Phone

(305) 294-5553

Fax

(305) 294-6670

NPI assigned

Oct 12, 2006

Last updated

May 16, 2023By the provider in NPPES

Sex

Male

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Endocrinology Specialists of South Florida, Inc

  • Endocrinology, Diabetes & Metabolism Physician
  • Miami, FL
  • NPI 1780078477
  NPD (past)
• Miimii Thae DPM, P.a

  dba Miimii Thae

  • Podiatric Clinic/Center
  • Homestead, FL
  • NPI 1962247973
  NPD (past)
• Southernmost Foot and Ankle Specialists

  • Primary Podiatric Medicine Podiatrist
  • Tavernier, FL
  • NPI 1073701488
  NPD (past)
• Southernmost Foot and Ankle Specialists

  • Primary Podiatric Medicine Podiatrist
  • Coral Gables, FL
  • NPI 1104014513
  NPD (past)
• Southernmost Foot and Ankle Specialists

  • Primary Podiatric Medicine Podiatrist
  • Marathon, FL
  • NPI 1275721680
  NPD (past)
• Southernmost Foot and Ankle Specialists

  • Primary Podiatric Medicine Podiatrist
  • Big Pine Key, FL
  • NPI 1528256930
  NPD (past)
• Southernmost Foot and Ankle Specialists

  • Primary Podiatric Medicine Podiatrist
  • Key West, FL
  • NPI 1538357942
  NPD (past)

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1356430888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 N ROOSEVELT BLVD STE 2",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403930",
            "telephone_number": "305-294-5553",
            "fax_number": "305-294-6670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 N ROOSEVELT BLVD STE 2",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330403930",
            "telephone_number": "305-294-5553",
            "fax_number": "305-294-6670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROUIN",
        "first_name": "MICHAEL",
        "credential": "DPM,FACFAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO-000950",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "340211800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monet Davila, LCSW
• William A. Davis, MS
• Amanda Deboer
• Deptartment of Health (Monroe County School)
• Dermatology Group of Florida PA
• Lori Lee Deutsch, RN
• Robert Rocco Devito Jr.
• Eduardo Diaz Jr.
• Gretel Diaz
• Florence E Diehl, RRT

• Primary Podiatric Medicine Podiatrist in Key West, FL
• Providers in Key West, FL by specialty
• Primary Podiatric Medicine Podiatrist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.