Youssef S. Derbala, MD

Primary specialty

Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X

License

4301098141 Issued in MI

Practice address

20480 Vernier Rd
Harper Woods, MI 48225-1411

Phone

(248) 938-0141

NPI assigned

Jun 7, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other names 1

• Youssef Hussein Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: yderbala1125022@direct.hfhs.org
• Direct secure messaging: youssef.derbala.1@29212.direct.athenahealth.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.

• Derbala Institute for Reproductive Immunology, PLLC

  • Obstetrics Physician
  • Harper Woods, MI
  • NPI 1114687225

  Obstetrics & Gynecology

  NPD Authorized official
• Youssef Derbala

  • Obstetrics & Gynecology Physician
  • Grosse Pointe Park, MI
  • NPI 1851900096
  NPD Authorized official
• Henry Ford Health St. John Hospital

  • Podiatrist
  • Harrison Township, MI
  • NPI 1043478910
  NPD
• Henry Ford Health St. John Hospital

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1912965088

  Obstetrics & Gynecology

  NPD
• Pathology Specialists of Southeast Michigan PC

  • Anatomic Pathology & Clinical Pathology Physician
  • Detroit, MI
  • NPI 1023100500
  NPD
• Henry Ford Health St. John Hospital

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1023088168
  NPD
• Mount Sinai Community Foundation

  • Rehabilitation Hospital
  • Chicago, IL
  • NPI 1376715896
  NPD
• Mount Sinai Community Foundation

  • General Acute Care Hospital
  • Chicago, IL
  • NPI 1982657854
  NPD
• Henry Ford Health System

  • Internal Medicine Physician
  • Detroit, MI
  • NPI 1891702833
  NPD (past)

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

{
    "created_epoch": "1339027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1619239456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20480 VERNIER RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251411",
            "telephone_number": "248-938-0141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20480 VERNIER RD",
            "city": "HARPER WOODS",
            "state": "MI",
            "postal_code": "482251411",
            "telephone_number": "248-938-0141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16815 E Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe",
            "state": "MI",
            "postal_code": "482301923",
            "country_code": "US",
            "telephone_number": "248-584-6158",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "830 W End Ct",
            "address_purpose": "LOCATION",
            "city": "Vernon Hills",
            "state": "IL",
            "postal_code": "600611365",
            "country_code": "US",
            "telephone_number": "616-676-6196",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25150 Ford Rd",
            "address_purpose": "LOCATION",
            "city": "Dearborn Heights",
            "state": "MI",
            "postal_code": "481273163",
            "country_code": "US",
            "telephone_number": "313-277-0400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15050 E Jefferson Ave",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "Grosse Pointe Park",
            "state": "MI",
            "postal_code": "48230",
            "country_code": "US",
            "telephone_number": "616-676-6196",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DERBALA",
        "first_name": "YOUSSEF",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-06-07",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301098141",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "MI",
            "license": "4301098141",
            "primary": false
        },
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "MI",
            "license": "4301098141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "YOUSSEF",
            "last_name": "HUSSEIN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle Dantzler
• Darwish O Darwish, MD
• Leanna Kenetria Davis
• Demarco Rouse Jr
• Derbala Institute for Reproductive Immunology, PLLC
• Destiny Family Service
• Darryl Dewberry
• Joel Darnell Dewberry
• Diloreto Dental Care PC
• David George Diloreto, D.D.S.

• Reproductive Endocrinology Physician in Harper Woods, MI
• Providers in Harper Woods, MI by specialty
• Reproductive Endocrinology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.