Donald John Deraska, MD

Primary specialty

Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X

License

73990 Issued in MA

Practice address

92 Montvale Ave Ste 3675
Stoneham, MA 02180-3625

Phone

(781) 438-1800

Fax

(781) 438-1822

NPI assigned

Oct 27, 2005

Last updated

Oct 30, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: dderaska@elincdirect.org

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.

• Foot Health Center of Merrimack Valley PC

  • Foot Surgery Podiatrist
  • North Andover, MA
  • NPI 1992851950
  NPD (past)
• Winchester Physician Associates

  dba North Reading Medical Associates

  • Internal Medicine Physician
  • North Reading, MA
  • NPI 1215919931
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1841280047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE STE 3675",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803625",
            "telephone_number": "781-438-1800",
            "fax_number": "781-438-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "92 MONTVALE AVE STE 3675",
            "city": "STONEHAM",
            "state": "MA",
            "postal_code": "021803625",
            "telephone_number": "781-438-1800",
            "fax_number": "781-438-1822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERASKA",
        "first_name": "DONALD",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "73990",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MA",
            "license": "73990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "724164",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3098311",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J13217",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marc Deangelo, ATC, LAT
• Jill Elizabeth Decologero, ANP-BC, MSN
• Mary Ellen Delger, PA
• Danielle Demarco, PA-C
• Stefanie Depaul, PT, DPT, CSCS, RYT
• Kristina R. Derosier, PT
• Christina Desrochers
• Sanjiban Dey, MD
• Dha Endoscopy LLC
• Dha Endoscopy LLC

• Endocrinology, Diabetes & Metabolism Physician in Stoneham, MA
• Providers in Stoneham, MA by specialty
• Endocrinology, Diabetes & Metabolism Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.