NPIMap

Individual provider Active NPI

Daniel Charles Derosa, DO

  • Orthopaedic Surgery Physician
  • Laurinburg, NC
National Provider Identifier
1831483627
Registry record updated Mar 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
2018-00693 Issued in NC
Practice address
1604 Medical Dr.
Laurinburg, NC 28352
Phone
(910) 276-4611
NPI assigned
Jun 9, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 2018-00693 NC Primary

Addresses

Primary practice location

1604 Medical Dr.
Laurinburg, NC 28352

Mailing address

4601 Park Rd
Ste 300
Charlotte, NC 28209

Other practice location 1

4140 Ferncreek Dr Ste 804
Fayetteville, NC 28314-2563
Phone (910) 615-2225

Other practice location 2

2817 Reilly St
Fort Bragg, NC 28310-5001
Phone (423) 231-4028

Other practice location 3

1219 Walter Reed Rd
Fayetteville, NC 28304-4437
Phone (910) 609-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20200218000595 NC Practitioner - Orthopedic Surgery 2365879129 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1219 Walter Reed Rd
Fayetteville, NC 28304-4437
Phone (910) 609-5000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion199
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2018-00693NCMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Fear Valley Health Medical Group LLC Orthopaedic Surgery of the Spine CurrentSince Oct 15, 2025 Accepting new patients
Cape Fear Valley Health Medical Group LLC Orthopaedic Surgery CurrentSince Oct 15, 2025 Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jun 30, 2024 Accepting new patients
Cumberland County Hospital System Inc Current Accepting new patients
Cumberland County Hospital System Inc CurrentSince Jun 30, 2024 Accepting new patients
Cape Fear Valley Health Medical Group LLC Orthopaedic Surgery Current Accepting new patients

Locations

1219 Walter Reed Rd
Fayetteville, NC 28304
Phone (910) 609-5000

4140 Ferncreek Dr
Ste 804
Fayetteville, NC 28314
Phone (910) 615-2225

4140 Ferncreek Dr
Ste 801
Fayetteville, NC 28314
Phone (910) 484-2171

1638 Owen Dr
Fayetteville, NC 28304
Phone (910) 609-5610

Interoperability endpoints

  • Direct secure messaging: dderosa126267@capefearvalley.direct-ci.com
  • Direct secure messaging: dderosa1102029@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 6

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.

Hospital & facility affiliations 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773187200000",
    "number": "1831483627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD",
            "address_2": "STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1604 MEDICAL DR.",
            "city": "LAURINBURG",
            "state": "NC",
            "postal_code": "28352",
            "telephone_number": "910-276-4611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4140 Ferncreek Dr Ste 804",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283142563",
            "country_code": "US",
            "telephone_number": "910-615-2225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2817 Reilly St",
            "address_purpose": "LOCATION",
            "city": "Fort Bragg",
            "state": "NC",
            "postal_code": "283105001",
            "country_code": "US",
            "telephone_number": "423-231-4028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1219 Walter Reed Rd",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283044437",
            "country_code": "US",
            "telephone_number": "910-609-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DEROSA",
        "first_name": "DANIEL",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-09",
        "last_updated": "2026-03-11",
        "certification_date": "2026-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2018-00693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laurinburg, NC

Sources for this page

Verify at the official NPI Registry.