Joseph L Derose, OD

Primary specialty

OptometristTaxonomy code 152W00000X

License

TA0948 Issued in MD

Practice address

698 Baltimore Pike
Bel Air, MD 21014-4264

Phone

(410) 879-0044

Fax

(410) 893-6871

NPI assigned

Jun 14, 2006

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in MD

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Optometry

Education

Pennsylvania College of Optometry, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eye Care Associates of Maryland LLCGroup PAC ID 1850491994, 22 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: joseph.derose.p1@direct.katzeneye.nextgenshare.com
• Direct secure messaging: joseph.derose.p1@direct.levineyecare.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.

• Eye Care Associates of MD, LLC

  • Ophthalmology Physician
  • Nottingham, MD
  • NPI 1588784235

  MD, Optometrist

  Medicare reassignment Care Compare group NPD
• Canton Crossing Optometry, LLC

  • Optometrist
  • Baltimore, MD
  • NPI 1326474263

  MD, Optometrist

  Medicare reassignment NPD

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596672000000",
    "number": "1679516595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PROVIDENCE RD",
            "address_2": "STE 100",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212862976",
            "telephone_number": "703-847-8899",
            "fax_number": "709-866-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "698 BALTIMORE PIKE",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210144264",
            "telephone_number": "410-879-0044",
            "fax_number": "410-893-6871"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8601 Veterans Hwy",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Millersville",
            "state": "MD",
            "postal_code": "211081547",
            "country_code": "US",
            "telephone_number": "410-975-0090",
            "fax_number": "410-975-0089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEROSE",
        "first_name": "JOSEPH",
        "middle_name": "L",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-08-06",
        "certification_date": "2020-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "MD",
            "license": "TA0948",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC / BS OF MD",
            "identifier": "KZ41 / 687259-01",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECHOICE",
            "identifier": "S186 / 0029",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "161268900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Beth Dempsey-Connolly, O.D.
• Gerald Lee Denlinger
• Dennis Kurgansky, MD, PA
• Dental Professionals of Maryland, Gerald Awadzi, PC
• Joe Denver
• Amit Sunil Desai, D.O,
• Apurva Desai, M.D.
• Dipan A. Desai, D.O.
• Desh P Sharma MD
• Kitty G Devlin, M.S. M.A. LICAC

• All providers in Bel Air, MD
• Optometrist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2020; 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.