Active NPI
Derek Patrick Hughes, M.D.
- Pediatrics Physician
- Citrus Heights, CA
National Provider Identifier
1689073611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- A61410
- Practice address
- 5959 Greenback LN
Suite 500
Citrus Heights, CA 95621-4700 - Phone
- (916) 725-1177
- NPI assigned
- Aug 14, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A61410 | CA | Primary |
Addresses
Primary practice location
5959 Greenback LN
Suite 500
Citrus Heights, CA 95621-4700
Mailing address
1312 Gerry Way
Roseville, CA 95661-3431
Phone (530) 415-1413
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 61410 | CA | MD | Pharmacist |
| A61410 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sutter North Medical Foundatoin | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Yuba City, CA
- NPI 1851437388
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407974400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454630400000",
"number": "1689073611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1312 GERRY WAY",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956613431",
"telephone_number": "530-415-1413"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5959 GREENBACK LN",
"address_2": "SUITE 500",
"city": "CITRUS HEIGHTS",
"state": "CA",
"postal_code": "956214700",
"telephone_number": "916-725-1177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUGHES",
"first_name": "DEREK",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-14",
"last_updated": "2016-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A61410",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Citrus Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.