Derek C Diffendaffer, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

0101289154 Issued in VA

Practice address

2602 Buford Rd
North Chesterfield, VA 23235-3422

Phone

(804) 272-8806

Fax

(804) 272-2909

NPI assigned

May 1, 2012

Last updated

Jul 17, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 OK, TX2 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

Specialty

Diagnostic Radiology

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Star MCD LLCGroup PAC ID 2668659434, shared by 3 NPIs, 77 clinicians

Eagle Partners, PLLCGroup PAC ID 9032205752, 170 clinicians

North Star Diagnostic Imaging LLCGroup PAC ID 8729118021, 69 clinicians

North Star MRI of Frisco LPGroup PAC ID 2769574854, 72 clinicians

Singleton Associates PAGroup PAC ID 6305731118, 814 clinicians

North Star FM LPGroup PAC ID 1153591763, 22 clinicians

North Star MRI LPGroup PAC ID 5890762330, 54 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Grady Memorial Hospital Hospital, Chickasha, OK, CCN 370054
• Duncan Regional Hospital, Inc Hospital, Duncan, OK, CCN 370023
• Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
• Southwestern Medical Center Hospital, Lawton, OK, CCN 370097
• Oklahoma Center for Orthopaedic & Multi-SP Hospital, Oklahoma City, OK, CCN 370212

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Eagle Partners, PLLC

  • Diagnostic Radiology Physician
  • Duncan, OK
  • NPI 1548450976

  Single Specialty

  Medicare reassignment Care Compare group NPD
• North Star Diagnostic Imaging, LLC

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1467787739

  OK, Single Specialty

  Medicare reassignment Care Compare group NPD
• North Star FM, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Flower Mound, TX
  • NPI 1174812028

  OK, Single Specialty

  Medicare reassignment Care Compare group NPD
• North Star MRI LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Allen, TX
  • NPI 1033174701

  OK, Single Specialty

  Medicare reassignment Care Compare group NPD
• North Star MRI of Frisco LP

  • Radiology Clinic/Center
  • Frisco, TX
  • NPI 1649356759

  OK, Single Specialty

  Medicare reassignment Care Compare group NPD
• Singleton Associates PA

  • Diagnostic Radiology Physician
  • Shenandoah, TX
  • NPI 1538107875

  OK, Single Specialty

  Medicare reassignment Care Compare group NPD
• Grady Memorial Hospital

  dba Anesthesia Services

  • Anesthesiology Physician
  • Chickasha, OK
  • NPI 1750370268

  Single Specialty

  Medicare reassignment NPD
• North Star FP, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Dallas, TX
  • NPI 1033630835

  OK, Single Specialty

  Medicare reassignment NPD
• North Star GV, LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Grapevine, TX
  • NPI 1922512664

  OK, Single Specialty

  Medicare reassignment NPD
• North Star MCD, LLC

  dba North Stat Diagnostic Imaging

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1295496602

  Single Specialty

  Medicare reassignment NPD
• North Star MCD, LLC

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Fort Worth, TX
  • NPI 1700550282

  OK, Single Specialty

  Medicare reassignment NPD
• North Star NPT LP

  dba North Star Diagnostic Imaging

  • Radiology Clinic/Center
  • Plano, TX
  • NPI 1699387647

  OK, Single Specialty

  Medicare reassignment NPD

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

• Community Hospital LLC

  dba Community Hospital

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337
  Care Compare affiliation
• Duncan Regional Hospital, Inc.

  • Rural Acute Care Hospital
  • Duncan, OK
  • NPI 1851396394
  Care Compare affiliation
• Grady Memorial Hospital

  • General Acute Care Hospital
  • Chickasha, OK
  • NPI 1538169198
  Care Compare affiliation
• Oklahoma Center for Orthopaedic & Multi-Specialty Surgery, LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1063489458
  Care Compare affiliation

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

{
    "created_epoch": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784246400000",
    "number": "1558629113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2602 BUFORD RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353422",
            "telephone_number": "804-272-8806",
            "fax_number": "804-272-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2602 BUFORD RD",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232353422",
            "telephone_number": "804-272-8806",
            "fax_number": "804-272-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFFENDAFFER",
        "first_name": "DEREK",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2026-07-17",
        "certification_date": "2026-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101289154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Divine Health and Wellness Corp (FYZICAL BonAir)

• Diagnostic Radiology Physician in North Chesterfield, VA
• Providers in North Chesterfield, VA by specialty
• Diagnostic Radiology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2026; 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.

Verify at the official NPI Registry.