Individual provider Active NPI

George T Derefaka, CRNA

  • Certified Registered Nurse Anesthetist
  • Ft Lauderdale, FL
National Provider Identifier
1386074474
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
0024195780 Issued in VA
Practice address
3601 W Commercial Blvd
Suite 5
Ft Lauderdale, FL 33309-3300
Phone
(954) 703-2931
Fax
(954) 585-0297
NPI assigned
Nov 26, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN9274231 FL
Certified Registered Nurse Anesthetist 367500000X 2024028590 MO
Certified Registered Nurse Anesthetist 367500000X 0024195780 VA Primary
Certified Registered Nurse Anesthetist 367500000X 1203549 TX

Addresses

Primary practice location

3601 W Commercial Blvd
Suite 5
Ft Lauderdale, FL 33309-3300

Mailing address

3601 W Commercial Blvd Ste 5
Ft Lauderdale, FL 33309-3392
Phone (954) 703-2931

Other practice location 1

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 996-5000

Electronic endpoints 1

TypeEndpointUseAffiliation
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Health Information Exchange (HIE) MISSOURI BAPTIST MEDICAL CENTER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, KS, GA, IN, MI, NY, NC, TX, VA9 enrollments

Enrollment records 9

Enrollment IDStateProvider typePAC IDDetails
I20140915000424 FL Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769612274 Reassigns benefits to 3 organizations
I20200116000625 KS Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769612274 Reassigns benefits to 2 organizations
I20230509001956 GA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769612274 Reassigns benefits to 1 organization
I20240417003479 IN Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769612274 Reassigns benefits to 1 organization
I20240830000278 MI Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769612274 Reassigns benefits to 1 organization
I20250304000441 NY Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769612274
I20250527000352 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769612274 Reassigns benefits to 1 organization
I20251107004104 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769612274 Reassigns benefits to 2 organizations
I20260416002254 VA Practitioner - Certified Registered Nurse Anesthetist (Crna) 2769612274 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Celebrity Anesthesia PLLCGroup PAC ID 8325467608, 23 clinicians
SMG Anesthesia Specialists LLCGroup PAC ID 6305081118, 501 clinicians
Austin Anesthesiology Group PLLCGroup PAC ID 0547256497, 430 clinicians

Practice addresses (Care Compare)

Austin, TX 78745
Phone (512) 593-1945

838 Kempsville Rd
Norfolk, VA 23502-3920
Phone (757) 261-6900

919 E 32ND St
Austin, TX 78705-2703
Phone (512) 343-2466

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007

Merit-based Incentive Payment System (MIPS)

Final score
82.33 of 100Reported as group
Quality
78.32
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
7699NCMDCounselor
2024028590MOMDCertified Registered Nurse Anesthetist
1203549TXMDCertified Registered Nurse Anesthetist
0024195780VAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Austin Anesthesiology Group, PLLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Austin Anesthesiology Group PLLC CurrentSince Oct 1, 2025 Accepting new patients
Anesco North Broward LLC CurrentSince Apr 1, 2014 Accepting new patients
US Anesthesia Partners of Florida Inc. Nurse Anesthetist, Certified Registered CurrentSince Dec 16, 2020 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Mar 1, 2023 Accepting new patients
Deaconess Hospital, Inc Nurse Anesthetist, Certified Registered CurrentSince Mar 15, 2024 Accepting new patients
Deaconess Hospital Inc CurrentSince Mar 15, 2024 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Mar 1, 2023 Accepting new patients
Celebrity Anesthesia PLLC CurrentSince Jan 1, 2026 Accepting new patients
Clinical Colleagues KS PA Nurse Anesthetist, Certified Registered CurrentSince Feb 17, 2024 Accepting new patients
CHS Anesthesia Services Group Inc CurrentSince Apr 15, 2025 Accepting new patients
Deaconess Hospital, Inc Current Accepting new patients
Clinical Colleagues Inc Nurse Anesthetist, Certified Registered CurrentSince Jul 8, 2024 Accepting new patients

Locations

2776 Cleveland Ave
Fort Myers, FL 33901
Phone (239) 343-2000

3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309

3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002

601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996

1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

917 W Washington Blvd
Chicago, IL 60607
Phone (312) 248-3655

600 Mary St
Evansville, IN 47710
Phone (812) 450-2239

4011 Gateway Blvd
Newburgh, IN 47630
Phone (812) 450-2240

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

3001 Avenue A
Dodge City, KS 67801
Phone (620) 225-8400

701 S Health Parkway
Three Rivers, MI 49093
Phone (269) 273-9691

919 E 32nd St
Austin, TX 78705
Phone (512) 343-2466

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1385424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1386074474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD STE 5",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093392",
            "telephone_number": "954-703-2931",
            "fax_number": "954-585-0297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W COMMERCIAL BLVD",
            "address_2": "SUITE 5",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333093300",
            "telephone_number": "954-703-2931",
            "fax_number": "954-585-0297"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3015 N Ballas Rd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "631312329",
            "country_code": "US",
            "telephone_number": "314-996-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEREFAKA",
        "first_name": "GEORGE",
        "middle_name": "T",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-26",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "FL",
            "license": "RN9274231",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MO",
            "license": "2024028590",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "VA",
            "license": "0024195780",
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "TX",
            "license": "1203549",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "endpointDescription": "BJC",
            "affiliationName": "MISSOURI BAPTIST MEDICAL CENTER",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3015 N Ballas Rd",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631312329",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ft Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.