Active NPI
Derek Casey
- Nephrology Physician
- Fort Lauderdale, FL
National Provider Identifier
1740819754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- OS19961
- Practice address
- 407 SE 9TH St Ste 106
Fort Lauderdale, FL 33316-1113 - Phone
- (549) 463-0112
- Fax
- (954) 463-0117
- NPI assigned
- Apr 2, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Nephrology Physician | 207RN0300X | OS19961 | FL | Primary |
Addresses
Primary practice location
407 SE 9TH St Ste 106
Fort Lauderdale, FL 33316-1113
Mailing address
2633 NW 48TH St
Boca Raton, FL 33434-2586
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
407 SE 9TH St
Suite 103
Fort Lauderdale, FL 33316-1113
Phone (954) 463-0112
Hospital & facility affiliations
- Fresenius Kidney Care-East Fort Lauderdale
- Broward Health Medical Center
- Broward Health Imperial Point
- Holy Cross Hospital
- North Shore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Kidney Physicians , LLC | Nephrology | Current | Accepting new patients |
| Florida Kidney Physicians, LLC | Nephrology | Current | Accepting new patients |
Locations
850 W Rio Salado Pkwy
Ste 201
Tempe, AZ 85281
407 SE 9th St
Ste 103
Ft Lauderdale, FL 33316
Phone (954) 463-0112
12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
- dcasey4424332@direct.trinity-health.org
- derek.casey.1@15644.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
-
- Nephrology Physician
- Melbourne, FL
- NPI 1205506722
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Oakland Park, FL
- NPI 1518479765
Dialysis facility
-
- General Acute Care Hospital
- Ft Lauderdale, FL
- NPI 1639197395
-
- General Acute Care Hospital
- Lauderdale Lakes, FL
- NPI 1184440828
-
- General Acute Care Hospital
- Miami, FL
- NPI 1194552141
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1265460232
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585785600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750723200000",
"number": "1740819754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2633 NW 48TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334342586"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 SE 9TH ST STE 106",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "333161113",
"telephone_number": "549-463-0112",
"fax_number": "954-463-0117"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CASEY",
"first_name": "DEREK",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2020-04-02",
"last_updated": "2025-06-24",
"certification_date": "2025-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "OS19961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 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.