Active NPI
Deborah S. Derderian, D.O.
- Internal Medicine Physician
- Mendon, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 243757
- Practice address
- 12 Uxbridge Road
Mendon, MA 01756-1311 - Phone
- (508) 634-6620
- Fax
- (508) 634-6813
- NPI assigned
- Aug 14, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 243757 | MA | Primary |
| Internal Medicine Physician | 207R00000X | 233213 | MA |
Addresses
Primary practice location
12 Uxbridge Road
Mendon, MA 01756-1311
Mailing address
9 Industrial Rd Ste 5
Milford, MA 01757-3736
Phone (508) 473-1480
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- 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
- Internal Medicine
- Education
- University of New England, College of Osteo Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
100 Medway Rd
Milford, MA 01757-2923
12 Uxbridge Rd
Mendon, MA 01756-1094
Phone (508) 473-6320
12 Uxbridge Rd
Suite 201
Mendon, MA 01756-1095
Phone (508) 634-6620
308 Main St
Milford, MA 01757-2511
Phone (508) 478-0555
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 233213 | MA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Umass Memorial Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Umass Memorial Medical Group, Inc. | Current | Accepting new patients |
Locations
1280 W Central St
Ste 201
Franklin, MA 02038
Phone (508) 541-2436
68A Main St
Ste 101
Medway, MA 02053
Phone (508) 533-6020
12 Uxbridge Rd
Ste 201
Mendon, MA 01756
Phone (508) 473-6320
308 Main St
Milford, MA 01757
Phone (508) 478-0555
100 Medway Rd
Ste 401
Milford, MA 01757
Phone (508) 634-7338
55 Lake Ave N
Worcester, MA 01655
Phone 508334100048862
123 Summer St
#273
Worcester, MA 01608
Phone (508) 363-6327
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Worcester, MA
- NPI 1760445373
-
- Internal Medicine Physician
- Milford, MA
- NPI 1902856024
-
dba Urgent Care Express at Harrington
- Urgent Care Clinic/Center
- Oxford, MA
- NPI 1982381018
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Milford, MA
- NPI 1568828796
-
- General Acute Care Hospital
- Milford, MA
- NPI 1477527497
-
- General Acute Care Hospital
- Worcester, MA
- NPI 1831151455
-
dba MetroWest Medical Center
- General Acute Care Hospital
- Framingham, MA
- NPI 1740252592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1218672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763683200000",
"number": "1619123205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 INDUSTRIAL RD STE 5",
"city": "MILFORD",
"state": "MA",
"postal_code": "017573736",
"telephone_number": "508-473-1480",
"fax_number": "508-473-1210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12 UXBRIDGE ROAD",
"city": "MENDON",
"state": "MA",
"postal_code": "017561311",
"telephone_number": "508-634-6620",
"fax_number": "508-634-6813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERDERIAN",
"first_name": "DEBORAH",
"middle_name": "S.",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-08-14",
"last_updated": "2025-11-21",
"certification_date": "2025-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "243757",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MA",
"license": "233213",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Mendon, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2025; 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.