Sara Dervishi, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

5151016862 Issued in MI

Practice address

1135 W University Dr Ste 250
Rochester, MI 48307-1886

Phone

(248) 650-6301

NPI assigned

Mar 8, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: sara.dervishi.1@14250.direct.athenahealth.com

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

{
    "created_epoch": "1552003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1841758844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 250",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 W UNIVERSITY DR STE 250",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071886",
            "telephone_number": "248-650-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DERVISHI",
        "first_name": "SARA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-08",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "5151016862",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5151016862",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Louise Delzer, PA
• Kathleen Demarco, MASTER SOCIAL WORKER
• Ashley Deordio, MA, CCC-SLP
• Dermatology Center of Rochester Hills, P.C.
• Eric Donald Derusha, D.C.
• Rachel Preston Desteiger, RACHEL DESTEIGER, RD
• Jericho Detherage, LLMSW
• Proma Dey, MD
• Diane Johnston PLLC
• Vijay S Digambaranath, PT

• Internal Medicine Physician in Rochester, MI
• Providers in Rochester, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.