Active NPI
Eldridge Hopkins Derring Jr., M.D.
- Pulmonary Disease Physician
- Chesapeake, VA
National Provider Identifier
1861507121
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 0101022505
- Practice address
- 113 Gainsborough SQ
Suite 300
Chesapeake, VA 23320-1713 - Phone
- (757) 547-9451
- Fax
- (757) 547-1405
- NPI assigned
- Aug 20, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 0101022505 | VA | Primary |
Addresses
Primary practice location
113 Gainsborough SQ
Suite 300
Chesapeake, VA 23320-1713
Mailing address
113 Gainsborough SQ
Suite 300
Chesapeake, VA 23320-1713
Phone (757) 547-9451
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 042679 | Other | VA | ANTHEM |
| 15195 | Other | VA | OPTIMA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Chesapeake Hospital Authority | Past | Accepting new patients | |
| Sentara Life Care Corporation | Past | Accepting new patients |
Organizations & group practices 2
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.
-
dba Chesapeake General Hospital
- General Acute Care Hospital
- Chesapeake, VA
- NPI 1700896354
-
dba Sentara Nursing Center Norfolk
- Skilled Nursing Facility
- Norfolk, VA
- NPI 1093706806
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1861507121",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "113 GAINSBOROUGH SQ",
"address_2": "SUITE 300",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233201713",
"telephone_number": "757-547-9451",
"fax_number": "757-547-1405"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "113 GAINSBOROUGH SQ",
"address_2": "SUITE 300",
"city": "CHESAPEAKE",
"state": "VA",
"postal_code": "233201713",
"telephone_number": "757-547-9451",
"fax_number": "757-547-1405"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DERRING",
"first_name": "ELDRIDGE",
"middle_name": "HOPKINS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "VA",
"license": "0101022505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "042679",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMA",
"identifier": "15195",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chesapeake, VA
- Dental Professionals of Virginia, P.C. (Hanbury Dental Care)
- Dental Professionals of Virginia, P.C. (Bells Mill Dental Care)
- Derai Health Care Services LLC
- Derjan Group
- Derrick M. Broadaway, D.D.S., PC
- Aarti Shriniwas Desai, M.D.
- Himanshu D. Desai, M.D.
- Destiny Medical Transport
- Brittany Renee Deuso, PT, DPT
- Chad Robert Deuvall, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.