Joseph Dergan, MD

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

License

ME144700 Issued in FL

Practice address

8950 N Kendall Dr
Miami, FL 33176-2144

Phone

(305) 274-2030

NPI assigned

Jan 9, 2013

Sex

Male

Sole proprietor

No

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 FL

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

Vascular Surgery

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mount Sinai Vascular Institute, LLCGroup PAC ID 2567866296, 13 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.dergan.p92@direct.aac.nextgenshare.com
• Direct secure messaging: jdergan8625@prd.direct.tbh.org
• Direct secure messaging: joseph.dergan.p21@direct.aac.nextgenshare.com

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.

• Mount Sinai Vascular Institute, LLC

  • Vascular & Interventional Radiology Physician
  • Miami Beach, FL
  • NPI 1871160879

  Vascular Surgery

  Medicare reassignment Care Compare group NPD
• American Access Care of Miami, LLC

  • Vascular & Interventional Radiology Physician
  • Miami, FL
  • NPI 1982371209
  NPD

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

• Mount Sinai Medical Center of Florida, Inc

  • General Acute Care Hospital
  • Miami Beach, FL
  • NPI 1912964768
  Care Compare affiliation

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720483200000",
    "number": "1619214707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5129 NW 116TH CT",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "331784115",
            "telephone_number": "210-753-3032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762144",
            "telephone_number": "305-274-2030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 S Dadeland Blvd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331562703",
            "country_code": "US",
            "telephone_number": "305-670-1044",
            "fax_number": "305-670-1046",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERGAN",
        "first_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-09",
        "last_updated": "2024-07-09",
        "certification_date": "2024-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME144700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aditya Manjul Derasari, M.D.
• Talar Derashodian, M.D.
• Marcel J Deray, MD
• Laura Derderian, CCC-SLP
• Derek Bazemore MD Inc
• Audrey Elaine Dericho
• Florence Derilus
• Voltaire Derine, PHARM D.
• Derm 360, LLC
• Dermaclinic LLC

• Vascular Surgery Physician in Miami, FL
• Providers in Miami, FL by specialty
• Vascular Surgery Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2024; 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.