John Derzis, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1366138729 Issued in AL

Practice address

817 Princeton Ave SW Ste 210
Birmingham, AL 35211-1348

Phone

(205) 592-1406

Fax

(205) 592-1705

NPI assigned

Apr 17, 2023

Last updated

Aug 7, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in AL

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

Specialty

Internal Medicine

Education

Edward Via Col of Osteo Medicine-Virginia Campus, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist Health Centers LLCGroup PAC ID 3476457011, shared by 4 NPIs, 184 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Princeton Baptist Medical Center Hospital, Birmingham, AL, CCN 010103

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Oak Mountain Group Services, LLC

  • Hospitalist Physician
  • Birmingham, AL
  • NPI 1366840761
  Medicare reassignment NPD
• Oak Mountain Group Services, LLC

  • Physical Medicine & Rehabilitation Physician
  • Vestavia Hills, AL
  • NPI 1609321165
  NPD
• Baptist Health Centers LLC

  dba Baptist Health Medical Group

  • Specialist
  • Talladega, AL
  • NPI 1669436721
  NPD (past)
• Baptist Health Centers, LLC

  dba Baptist Health Medical Group

  • Health Service Clinic/Center
  • Winfield, AL
  • NPI 1265496236
  NPD (past)
• BW Orthopedic & Sports Medicine Practice LLC

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • Birmingham, AL
  • NPI 1710808605
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• BBH PBMC, LLC

  dba Baptist Health Princeton Hospital

  • General Acute Care Hospital
  • Birmingham, AL
  • NPI 1164876546
  Care Compare affiliation

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786060800000",
    "number": "1366138729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 BLUE LAKE DR STE 495",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352431975",
            "telephone_number": "205-592-1406",
            "fax_number": "205-592-1705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "817 PRINCETON AVE SW STE 210",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352111348",
            "telephone_number": "205-592-1406",
            "fax_number": "205-592-1705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "833 Princeton Ave SW",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352111323",
            "country_code": "US",
            "telephone_number": "205-783-7694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERZIS",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-04-17",
        "last_updated": "2026-08-07",
        "certification_date": "2026-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "AL",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "1366138729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dermatopathology Services Inc
• Amy Jenkins Dern, OTR/L
• Charlotte Marie King Derose, DO
• Rebecca Howard Derosier, MD
• Evelyn Allen Derriso, PHARMD
• Marcia Katherine Des Jardin, MD
• Bhumit Rajendra Desai, MD
• Kuntal Desai, MD
• Pankaj Desai
• Phorum Desai

• Internal Medicine Physician in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2026; 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.