NPIMap

Individual provider Active NPI

Derek Scott Gasper, D.O

  • Family Medicine Physician
  • Valparaiso, IN
National Provider Identifier
1770748717
Registry record updated Jun 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02003800A Issued in IN
Practice address
1101 Glendale Blvd Ste 102a
Valparaiso, IN 46383-3767
Phone
(219) 464-9521
Fax
(219) 465-1442
NPI assigned
Jul 18, 2008
Last updated
Jun 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 125054141 IL
Family Medicine Physician 207Q00000X 02003800A IN Primary
Family Medicine Physician 207Q00000X 36.126288 IL

Addresses

Primary practice location

1101 Glendale Blvd Ste 102a
Valparaiso, IN 46383-3767

Mailing address

1101 Glendale Blvd
Suite 103
Valparaiso, IN 46383-3767
Phone (219) 464-9521

Other practice location 1

1231 Cumberland Xing
Valparaiso, IN 46383-2192
Phone (888) 824-0200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address derek.gasper.1@2340.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20110719000140 IN Practitioner - Family Practice 9931389798 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Midwestern University, Chicago College of Osteopathic Med, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of ChicagoGroup PAC ID 7719899426, 1,674 clinicians
Rci (WRS) LLCGroup PAC ID 5092624510, shared by 17 NPIs, 325 clinicians

Practice addresses (Care Compare)

1231 Cumberland Xing
Valparaiso, IN 46383-2192
Phone (888) 824-0200

1300 Lincolnway
Valparaiso, IN 46383-5824

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.68 of 100Reported as apm
Quality
76.2
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36.126288ILMDFamily Medicine Physician
02003800AINMDFamily Medicine Physician
125054141ILMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Porter Physician Services LLC Family Medicine CurrentSince Aug 1, 2011 Accepting new patients
Porter Physician Services LLC Family Medicine PastSince Sep 13, 2020 Accepting new patients

Locations

650 Dickinson Rd
Ste A
Chesterton, IN 46304
Phone (219) 926-2133

650 Dickinson Rd
Ste Z
Chesterton, IN 46304
Phone (219) 464-9507

1101 Glendale Blvd
Ste 102A
Valparaiso, IN 46383
Phone (219) 263-7550

1101 Glendale Blvd
Ste 103
Valparaiso, IN 46383
Phone (219) 464-2880

1231 Cumberland Xing
Valparaiso, IN 46383
Phone (219) 464-8024

85 E US Highway 6
Valparaiso, IN 46383
Phone (219) 983-5743

306 S Ohio St
Wanatah, IN 46390
Phone (219) 733-2755

Interoperability endpoints

  • Direct secure messaging: derek.gasper.1@2340.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
New Day Healthcare, LLCValparaiso, IN, CCN 151614 Hospice Contracted Managing Employee Jul 1, 2015

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1770748717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD",
            "address_2": "SUITE 103",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833767",
            "telephone_number": "219-464-9521",
            "fax_number": "219-465-1442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GLENDALE BLVD STE 102A",
            "city": "VALPARAISO",
            "state": "IN",
            "postal_code": "463833767",
            "telephone_number": "219-464-9521",
            "fax_number": "219-465-1442"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1231 Cumberland Xing",
            "address_purpose": "LOCATION",
            "city": "Valparaiso",
            "state": "IN",
            "postal_code": "463832192",
            "country_code": "US",
            "telephone_number": "888-824-0200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASPER",
        "first_name": "DEREK",
        "middle_name": "SCOTT",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-18",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IL",
            "license": "125054141",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "02003800A",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36.126288",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "derek.gasper.1@2340.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "1101 Glendale Blvd Ste 102A",
            "city": "Valparaiso",
            "state": "IN",
            "country_code": "US",
            "postal_code": "463833767",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Valparaiso, IN

Sources for this page

Verify at the official NPI Registry.