Active NPI
Taylor Derousseau, MD
- Gastroenterology Physician
- Irving, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- S1797
- Practice address
- 701 Tuscan Dr Ste 110
Irving, TX 75039-3838 - Phone
- (214) 496-1100
- Fax
- (214) 496-1110
- NPI assigned
- Mar 22, 2016
- Last updated
- Jul 12, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | S1797 | TX | Primary |
Addresses
Primary practice location
701 Tuscan Dr Ste 110
Irving, TX 75039-3838
Mailing address
PO Box 35629
Dallas, TX 75235-0629
Phone (214) 424-2213
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Texas Southwestern Medical School at Dallas, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 Tuscan Dr
Suite 110
Irving, TX 75039-3838
Phone (214) 496-1100
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.98 of 100
- Quality
- 66.51
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 71.76
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 65 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 66 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S1797 | TX | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
| Texas Digestive Disease Consultants PLLC | Gastroenterology | Current | Accepting new patients |
| Texas Digestive Disease Consultants, PLLC | Gastroenterology | Current | Accepting new patients |
Locations
701 Tuscan Dr
Ste 110
Irving, TX 75039
Phone (214) 496-1100
Organizations & group practices 3
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.
-
- Gastroenterology Physician
- Irving, TX
- NPI 1053397331
-
- Gastroenterology Physician
- Flower Mound, TX
- NPI 1689650475
-
- Gastroenterology Physician
- Covington, LA
- NPI 1295428415
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Irving
- Psychiatric Hospital Unit
- Irving, TX
- NPI 1114268471
-
dba Baylor Scott & White Medical Center - Irving
- General Acute Care Hospital
- Irving, TX
- NPI 1992700983
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458604800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657584000000",
"number": "1518329259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 35629",
"city": "DALLAS",
"state": "TX",
"postal_code": "752350629",
"telephone_number": "214-424-2213",
"fax_number": "214-231-2159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 TUSCAN DR STE 110",
"city": "IRVING",
"state": "TX",
"postal_code": "750393838",
"telephone_number": "214-496-1100",
"fax_number": "214-496-1110"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEROUSSEAU",
"first_name": "TAYLOR",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-03-22",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "TX",
"license": "S1797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; 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.