Donald A. Derolf, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD05292 Issued in RI

Practice address

321 Vaucluse Ave
Middletown, RI 02842-5786

Phone

(401) 683-8895

Fax

(401) 849-5780

NPI assigned

Jul 1, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in RI

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

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.

• Southcoast Physicians Group, Inc.

  • Sleep Medicine (Internal Medicine) Physician
  • North Dartmouth, MA
  • NPI 1760892178
  NPD (past)

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582588800000",
    "number": "1528065745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 VAUCLUSE AVE",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425786",
            "telephone_number": "401-683-8895",
            "fax_number": "401-849-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 VAUCLUSE AVE",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425786",
            "telephone_number": "401-683-8895",
            "fax_number": "401-849-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROLF",
        "first_name": "DONALD",
        "middle_name": "A.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2020-02-25",
        "certification_date": "2020-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD 05292",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "RI",
            "license": "MD05292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BC/BS",
            "identifier": "20375-3",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003354",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RI BLUE CHIP",
            "identifier": "003642",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Paul V Delguercio, MD
• Gail Demarco, RN
• Carissa Marie Demello, LICSW
• Kara Denahan, LMFT
• Dental Haven LLC
• Brian Robert Desimone
• Mary Ellen Di Julio, RN, CDOE
• Steven K Diehl, PHD
• Albenzio Dimezza IV, BSW
• Mia Christine Dimon, RN

• Family Medicine Physician in Middletown, RI
• Providers in Middletown, RI by specialty
• Family Medicine Physician in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.