Julie Ann Derosa, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01049022A Issued in IN

Practice address

10090 Georgia Street, Suite #3
Crown Point, IN 46307

Phone

(219) 472-4077

Fax

(219) 267-1720

NPI assigned

Jan 31, 2006

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 3

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• First Attending Urgent Care Centers

  • General Practice Physician
  • Schererville, IN
  • NPI 1124261805
  NPD (past)
• Unity Healthcare LLC

  • Diagnostic Radiology Physician
  • Lafayette, IN
  • NPI 1497912497
  NPD (past)
• Unity Urgent Care LLC

  • Urgent Care Clinic/Center
  • Lafayette, IN
  • NPI 1205874674
  NPD (past)

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

{
    "created_epoch": "1138665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1376514950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10090 GEORGIA STREET",
            "address_2": "SUITE 3",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-472-4077",
            "fax_number": "219-267-1720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10090 GEORGIA STREET, SUITE #3",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "46307",
            "telephone_number": "219-472-4077",
            "fax_number": "219-267-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-31",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01049022A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIANA LICENSE",
            "identifier": "01049022A",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CSR",
            "identifier": "01049022B",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200540460",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina Dennie, FNP-C
• Dental Center (Crown Point) P.C.
• James Denton, R.PH.
• Dermatology Center of Northwest Indiana LLC
• Dermatology Center of Northwest Indiana, PC
• Tapan Apurva Desai, MD
• Carmen Devenport, PHARMD
• Jamie Devries, LPC
• Megan Dexter, FNP
• Margaret Ann Deyoung, RN, MS, CNS

• Family Medicine Physician in Crown Point, IN
• Providers in Crown Point, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.