Deborah Dergan, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

S1585 Issued in TX

Practice address

3700 Washington St Ste 404
Hollywood, FL 33021-8249

Phone

(954) 983-3233

Fax

(954) 962-7130

NPI assigned

Jun 29, 2015

Last updated

Dec 28, 2021By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in FL

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

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ACJFCD

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.

• Healthstone Primary Care Partners LLC

  • Internal Medicine Physician
  • Hollywood, FL
  • NPI 1205280260
  Medicare reassignment NPD
• Pain Management Specialists

  dba Medical Practice

  • Interventional Pain Medicine Physician
  • San Antonio, TX
  • NPI 1922617125
  NPD (past)

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

{
    "created_epoch": "1435536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1477936219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 404",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218249",
            "telephone_number": "954-983-3233",
            "fax_number": "954-962-7130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3700 WASHINGTON ST STE 404",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330218249",
            "telephone_number": "954-983-3233",
            "fax_number": "954-962-7130"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERGAN",
        "first_name": "DEBORAH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-29",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S1585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yudelka Depena, ITDS
• Amy Christian Deramo, AGACNP-BC
• Shantrell Britany Derazin
• David Anthony Derby
• Cindy Sayonara Derequito, APRN
• Dermatology Group of Florida PA
• Dermatology Group of Florida PA
• Dermatology Group of Florida PA
• Amisha Desai
• Anand Desai

• Family Medicine Physician in Hollywood, FL
• Providers in Hollywood, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; 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.