Individual provider Active NPI

Joseph Derosa, D.O.

  • Obstetrics & Gynecology Physician
  • Coal Grove, OH
National Provider Identifier
1477533768
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
34004625 Issued in OH
Practice address
205 Marion Pike
Coal Grove, OH 45638-3165
Phone
(740) 532-1188
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 1329 WV
Obstetrics & Gynecology Physician 207V00000X 34004625 OH Primary

Addresses

Primary practice location

205 Marion Pike
Coal Grove, OH 45638-3165

Mailing address

2585 3Rd Ave
Huntington, WV 25703-1642
Phone (304) 697-1396

Other practice location 1

220 Johns Creek Road
Milton, WV 25541-1513
Phone (304) 743-1407

Other identifiers 6

IdentifierTypeStateIssuer
001709561OtherOHMT.STATE
0092290000MedicaidWV
64698939MedicaidKY
001790560OtherWVMT. STATE
0715417MedicaidOH
000000178447OtherOHANTHEM BC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040423001040 WV Practitioner - Obstetrics/Gynecology 4981690963 Reassigns benefits to 2 organizations
I20050413000272 OH Practitioner - Obstetrics/Gynecology 4981690963 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Philadelphia College of Osteopathic Medicine, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Health Systems, IncGroup PAC ID 9931017969, 110 clinicians

Practice addresses (Care Compare)

1340 Hal Greer Blvd
Huntington, WV 25701-3800
Phone (304) 526-2000

2585 3Rd Ave
Huntington, WV 25703-1642

Hospital & facility affiliations

  • Cabell Huntington Hospital, Inc Hospital, Huntington, WV, CCN 510055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1329WVMDProfessional Counselor
34004625OHMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Health Systems Inc Obstetrics & Gynecology CurrentSince Oct 1, 1991 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems, Inc. CurrentSince Oct 1, 1991 Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Current Accepting new patients
Valley Health Systems Inc Obstetrics & Gynecology CurrentSince Sep 30, 2012 Accepting new patients
Valley Health Systems, Inc. CurrentSince Jan 16, 2013 Accepting new patients
Valley Health Systems Inc Past Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients

Locations

205 Marion Pike
Ironton, OH 45638
Phone (740) 532-1188

5897 County Road 107
Proctorville, OH 45669
Phone (304) 399-2222

1630 13th Ave
Huntington, WV 25701
Phone (304) 697-2014

2585 3rd Ave
Huntington, WV 25703
Phone (304) 697-1396

220 Johns Creek Rd
Milton, WV 25541
Phone (304) 743-1407

15804 US Route 60
Milton, WV 25541
Phone (304) 743-4444

Interoperability endpoints

  • Direct secure messaging: jderosa20147@valleyhealthsystems.direct-ci.com

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1477533768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 3RD AVE",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257031642",
            "telephone_number": "304-697-1396",
            "fax_number": "304-697-2086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 MARION PIKE",
            "city": "COAL GROVE",
            "state": "OH",
            "postal_code": "456383165",
            "telephone_number": "740-532-1188"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 Johns Creek Road",
            "address_purpose": "LOCATION",
            "city": "Milton",
            "state": "WV",
            "postal_code": "255411513",
            "country_code": "US",
            "telephone_number": "304-743-1407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "JOSEPH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WV",
            "license": "1329",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OH",
            "license": "34004625",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT.STATE",
            "identifier": "001709561",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0092290000",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64698939",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MT. STATE",
            "identifier": "001790560",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0715417",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "000000178447",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coal Grove, OH

Sources for this page

Verify at the official NPI Registry.