NPIMap

Individual provider Active NPI

Michael A Derosa, DO

  • Endocrinology, Diabetes & Metabolism Physician
  • Canfield, OH
National Provider Identifier
1770589194
Registry record updated Jan 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
34.008028 Issued in OH
Practice address
3694 Starrs Centre Dr
Canfield, OH 44406-9514
Phone
(330) 702-1310
Fax
(330) 702-1344
NPI assigned
Jun 21, 2005
Last updated
Jan 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 34.008028 OH Primary

Addresses

Primary practice location

3694 Starrs Centre Dr
Canfield, OH 44406-9514

Mailing address

3694 Starrs Centre Dr
Canfield, OH 44406-9514
Phone (330) 702-1310

Other identifiers 1

IdentifierTypeStateIssuer
2409834MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050713000436 OH Practitioner - Endocrinology 7315973203 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Triad Health Services LLCGroup PAC ID 9032367917, 252 clinicians

Practice addresses (Care Compare)

3694 Starrs Centre Dr
Canfield, OH 44406-9514
Phone (330) 702-1310

4135 Boardman Canfield Rd
Suite 202
Canfield, OH 44406-9803
Phone (330) 967-4660

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.81 of 100Reported as individual
Quality
92.51
Promoting interoperability
100
Improvement activities
40
Cost
76.85

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
34.008028OHMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Triad Health Services, LLC Endocrinology, Diabetes & Metabolism CurrentSince Mar 1, 2026 Accepting new patients
Endocrinology Associates of Ohio, LLC Endocrinology, Diabetes & Metabolism CurrentSince Jul 11, 2005 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

3694 Starrs Centre Dr
Canfield, OH 44406
Phone (330) 533-5566

4135 Boardman Canfield Rd
Ste 202
Canfield, OH 44406
Phone (330) 967-4660

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

500 Gypsy Ln
Youngstown, OH 44504
Phone (330) 740-4572

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19596/brand/1/csg/1/fhir/r4
  • Direct secure messaging: michael.derosa.1@19596.direct.athenahealth.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767830400000",
    "number": "1770589194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3694 STARRS CENTRE DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069514",
            "telephone_number": "330-702-1310",
            "fax_number": "330-702-1344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 STARRS CENTRE DR",
            "city": "CANFIELD",
            "state": "OH",
            "postal_code": "444069514",
            "telephone_number": "330-702-1310",
            "fax_number": "330-702-1344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-21",
        "last_updated": "2026-01-08",
        "certification_date": "2026-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "OH",
            "license": "34.008028",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2409834",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Canfield, OH

Sources for this page

Verify at the official NPI Registry.