Derek Wayne Crouch, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO2095 Issued in NV

Practice address

8985 S Pecos Rd Ste 4a
Henderson, NV 89074-7163

Phone

(702) 433-1332

Fax

(702) 547-4931

NPI assigned

Jun 2, 2011

Last updated

Oct 4, 2021By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Family Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wikler Family Practice Associates Professional CorporationGroup PAC ID 2466439906, 3 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Care First Home Health Care Home health agency, Las Vegas, NV, CCN 297143
• A Plus Home Health Systems, LLC Home health agency, Las Vegas, NV, CCN 297256
• Palmeira Home Healthcare Home health agency, Las Vegas, NV, CCN 297112

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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.

• Wikler Family Practice Associates Professional Corporation

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1366638413

  Single Specialty

  Medicare reassignment Care Compare group NPD

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

• A Plus Home Health Systems LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1154824985
  Care Compare affiliation
• Care First Home Care, LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1104014794
  Care Compare affiliation
• Horizon Home Health Care, LLC

  dba Palmeira Home Health

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1932241510
  Care Compare affiliation

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633305600000",
    "number": "1609160019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8985 S PECOS RD STE 4A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747163",
            "telephone_number": "702-433-1332",
            "fax_number": "702-547-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8985 S PECOS RD STE 4A",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747163",
            "telephone_number": "702-433-1332",
            "fax_number": "702-547-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CROUCH",
        "first_name": "DEREK",
        "middle_name": "WAYNE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-02",
        "last_updated": "2021-10-04",
        "certification_date": "2021-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2095",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A12875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Naisha Crosby
• Nayally Cordova Cross
• Nicheon A Cross
• Robert Cross
• Veronica Lynn Cross, MFT-INTERN
• Kristine Crouch, FNP
• Crovetti Bone and Joint Institute (The Bone and Joint Institute)
• Crovetti Bone and Joint Institute of So. NV (The Bone and Joint Institute)
• Crovetti Bone and Joint Institute of Southern Nevada (Crovetti Orthopaedics and Sports Medicine)
• Michael J Crovetti Jr., DO

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.
• 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.